Individual provider Active NPI

Ann M Buchas, LCSW

  • Clinical Social Worker
  • Milford, CT
National Provider Identifier
1013947886
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002021 Issued in CT
Practice address
99 Cherry St
Milford, CT 06460-3455
Phone
(203) 783-9803
Fax
(203) 783-9803
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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 002021 CT Primary

Addresses

Primary practice location

99 Cherry St
Milford, CT 06460-3455

Mailing address

56 Constitution St
Wallingford, CT 06492-3825
Phone (203) 284-0846

Other identifiers 1

IdentifierTypeStateIssuer
140002021CT02OtherCTBLUECROSS

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
I20110214000017 CT Practitioner - Clinical Social Worker 2365622040 Practice locations: Milford, CT; Wallingford, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

56 Constitution St
Wallingford, CT 06492-3825
Phone (203) 284-0846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002021CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Inc. - Archdiocese of Hartford PastSince Oct 1, 2015 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccaoh/r4/

Organizations & group practices 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1013947886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CONSTITUTION ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923825",
            "telephone_number": "203-284-0846",
            "fax_number": "203-783-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603455",
            "telephone_number": "203-783-9803",
            "fax_number": "203-783-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHAS",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "140002021CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.