Ellen Buffa, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELLEN BUFFA, LLC

Practice address

112 Spencer St
Manchester, CT 06040-4601

Phone

(508) 341-2833

NPI assigned

Mar 21, 2022

Organization subpart

No

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

Authorized official

Name

Ellen Buffa, LCSWNPI 1164069571

Title

Clinical Social Worker

Phone

(508) 341-2833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, MA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Buffa, LMSW

  • Clinical Social Worker
  • Dayville, CT
  • NPI 1164069571

  Clinical, CT, MA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1033868872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPENCER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404601",
            "telephone_number": "508-341-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SPENCER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404601",
            "telephone_number": "508-341-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN BUFFA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "BUFFA",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "508-341-2833",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Elbaum, MD
• Lisa Eleck, APRN
• Elevate Counseling Services LLC
• Elevate Optimum Care LLC
• Canan Elevulu, PHARM D
• Brittany Ellington
• Leniqueka Ellis, LMSW
• Samantha Ellis
• Danielle L Ellison
• Mark Elsesser, PA-C

• All providers in Manchester, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.