Caroline Eagan, LCSW,MSW,BSW

Individual provider Active NPI Clinical Social Worker · Watertown, CT

NPI 1043586092 · NPPES record last updated Jun 9, 2026

Key facts

NPI
1043586092
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
008242 (CT)
Practice address
27 Siemon Co Dr Ste 353W
Watertown, CT 06795-2668
Phone
(203) 312-3310
NPI assigned
Mar 23, 2012
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150210002059 CT Practitioner - Clinical Social Worker 9436474624 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
008242CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Counseling Services LLC Clinical Current
since Jan 29, 2024
Accepting new patients

Locations

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 008242 CT Yes

Addresses

Primary practice location

27 Siemon Co Dr Ste 353W
Watertown, CT 06795-2668

Mailing address

27 Siemon Co Dr Ste 353W
Watertown, CT 06795-2668
Phone (203) 312-3310

Other identifiers

IdentifierTypeStateIssuer
008049710MedicaidCT
060669107OtherCTUBH/OXFORD HEALTH LIBERTY/FREEDOM WELLMORE GRP/FACILITY
060669107OtherCTANTHEM BCBS OF CT WELLMORE GRP/FACILITY
PENDINGOtherCTAETNA BEHAVIORAL HEALTH
060669107OtherCTOPTUM BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
PENDINGOtherCTMHN TRICARENORTH WELLMORE
060669107OtherCTHEALTHYCT WELLMORE GRP/FACILITY
PENDINGOtherCTCIGNA BEHAVIORAL HEALTH-WELLMORE
060669107OtherCTUBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY
CAQHOtherCT12656269
PENDINGOtherCTMHN MANAGED HEALTH NETWORK- WELLMORE
060669107OtherCTUBH/CONNECTICARE WELLMORE GRP/FACILITY
D339123- 141 E MAINOtherCTBEACON HEALTH STRATEGIES

Other names

  • Ms. Caroline Pierce Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 9, 2026.

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1043586092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SIEMON CO DR STE 353W",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952668",
            "telephone_number": "203-312-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SIEMON CO DR STE 353W",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952668",
            "telephone_number": "203-312-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGAN",
        "first_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "LCSW,MSW,BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008049710",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH/OXFORD HEALTH LIBERTY/FREEDOM    WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF CT   WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "PENDING",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM BEHAVIORAL HEALTH     WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN TRICARENORTH       WELLMORE",
            "identifier": "PENDING",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHYCT      WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH-WELLMORE",
            "identifier": "PENDING",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH/UNITED HEALTHCARE           WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "12656269",
            "identifier": "CAQH",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN MANAGED HEALTH NETWORK- WELLMORE",
            "identifier": "PENDING",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH/CONNECTICARE             WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "D339123- 141 E MAIN",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "PIERCE",
            "prefix": "MS.",
            "credential": "LCSW, MSW,BSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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Sources for this page

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