Individual provider Active NPI

Ann Marie Senick, LCSW

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1003919010
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005099 Issued in CT
Practice address
2080 Whitney Ave
Hamden, CT 06518-3600
Phone
(203) 747-3480
Fax
(860) 297-0931
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005099 CT Primary

Addresses

Primary practice location

2080 Whitney Ave
Hamden, CT 06518-3600

Mailing address

65 Clear Lake MNR
North Branford, CT 06471-1548
Phone (203) 483-9649

Other identifiers 8

IdentifierTypeStateIssuer
140005099CT03OtherCTANTHEM
201522674OtherCTNORTHEASTHMCPPO HEALTHCAR
201522674OtherCTUNITED BEHAVIORAL HEALTH
A3463246OtherCTOXFORD
201522674OtherCTVALUE OPTIONS
236926OtherCTMANAGED HEALTH NETWORK
201522674OtherCTPIONEER
201522674OtherCTORIVATE HEALTHCARE SYSTEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027000199 CT Practitioner - Clinical Social Worker 4880656495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale New Haven HospitalGroup PAC ID 8325935018, 44 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-2464

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
98.16
Promoting interoperability
100
Improvement activities
40
Cost
44.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005099CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Yale New Haven Hospital CurrentSince Dec 1, 2014 Accepting new patients
Coastal Counseling Associates, LLC Past Accepting new patients

Locations

2080 Whitney Ave
Hamden, CT 06518
Phone (203) 789-3434

184 Liberty St
New Haven, CT 06519
Phone (203) 688-9704

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003919010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CLEAR LAKE MNR",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "064711548",
            "telephone_number": "203-483-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183600",
            "telephone_number": "203-747-3480",
            "fax_number": "860-297-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENICK",
        "first_name": "ANN MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140005099CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHEASTHMCPPO HEALTHCAR",
            "identifier": "201522674",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "201522674",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A3463246",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "201522674",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "236926",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIONEER",
            "identifier": "201522674",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORIVATE HEALTHCARE SYSTEM",
            "identifier": "201522674",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.