Active NPI
Rachel U Manemeit, LCSW
- Clinical Social Worker
- Middletown, CT
National Provider Identifier
1043378383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004712
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004712 | CT | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterstone Counseling Center, LLC | Clinical | Current | Accepting new patients |
| Waterstone Health LLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.