Individual provider Active NPI

Rachel U Manemeit, LCSW

  • Clinical Social Worker
  • Middletown, CT
National Provider Identifier
1043378383
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004712 Issued in CT
Practice address
Dutton Home Silver St
River Valley Services
Middletown, CT 06457
Phone
(860) 262-5358
Fax
(860) 262-5356
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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 004712 CT Primary

Addresses

Primary practice location

Dutton Home Silver St
River Valley Services
Middletown, CT 06457

Mailing address

86 Bradley Rd
Madison, CT 06443-2644
Phone (860) 262-5358

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
I20160623002432 CT Practitioner - Clinical Social Worker 2466743364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waterstone Counseling Center LLCGroup PAC ID 0749681070, 10 clinicians

Practice addresses (Care Compare)

3190 Whitney Ave
BLDG 6
Hamden, CT 06518-2340
Phone (203) 245-0412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004712CTMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waterstone Counseling Center, LLC Clinical CurrentSince Nov 1, 2021 Accepting new patients
Waterstone Health LLC Clinical CurrentSince Apr 1, 2025 Accepting new patients

Locations

32 Wall St
#C
Madison, CT 06443
Phone (203) 245-0412

86 Bradley Rd
Madison, CT 06443
Phone (203) 245-0412

Organizations & group practices 2

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1043378383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BRADLEY RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432644",
            "telephone_number": "860-262-5358",
            "fax_number": "860-262-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DUTTON HOME SILVER ST",
            "address_2": "RIVER VALLEY SERVICES",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-262-5358",
            "fax_number": "860-262-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEMEIT",
        "first_name": "RACHEL",
        "middle_name": "U",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.