Individual provider Active NPI

Catherine A Stone, L.C.S.W.

  • Clinical Social Worker
  • Middletown, CT
National Provider Identifier
1043223043
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005253 Issued in CT
Practice address
363 Main St Ste 509
Middletown, CT 06457-3359
Phone
(203) 584-5206
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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 005253 CT Primary

Addresses

Primary practice location

363 Main St Ste 509
Middletown, CT 06457-3359

Mailing address

363 Main St Ste 509
Middletown, CT 06457-3359
Phone (203) 584-5206

Other identifiers 1

IdentifierTypeStateIssuer
11244971OtherCTC.A.Q.H.

Other names 1

  • Catherine A Underhill Former name

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
I20120828000386 CT Practitioner - Clinical Social Worker 6406003359 Practice locations: Middletown, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

363 Main St
Suite 509
Middletown, CT 06457-3359
Phone (203) 584-5206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005253CTMDClinical Social Worker
5253CTMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1043223043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 MAIN ST STE 509",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573359",
            "telephone_number": "203-584-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 MAIN ST STE 509",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573359",
            "telephone_number": "203-584-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C.A.Q.H.",
            "identifier": "11244971",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "UNDERHILL",
            "middle_name": "A",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.