Tammy Lynn Andrews, LCSW

Individual provider Active NPI Clinical Social Worker · Vernon, CT

NPI 1003860107 · NPPES record last updated Jun 24, 2013

Key facts

NPI
1003860107
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
005365 (CT)
Practice address
45 Hartford Tpke
Suite 2
Vernon, CT 06066-5274
Phone
(860) 647-8995
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Connecticut (267 clinicians)

Practice addresses (Care Compare)

95 Thomaston Ave
Waterbury, CT 06702-1007
Phone (203) 805-5300

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040506000484 CT Practitioner - Clinical Social Worker 3072501048 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut Current
since May 6, 2017
Accepting new patients
State of Connecticut Current
since May 6, 2017
Accepting new patients
Psychotherapy Services of CT, LLC Clinical Past
since Jun 24, 2010
Accepting new patients

Locations

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408

95 Thomaston Ave
Waterbury, CT 06702
Phone (203) 805-5300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005365 CT Yes

Addresses

Primary practice location

45 Hartford Tpke
Suite 2
Vernon, CT 06066-5274

Mailing address

192 Reservoir Rd
New Britain, CT 06052-1812
Phone (203) 213-5740

Other providers in Vernon, CT

All providers in Vernon, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.