Individual provider Active NPI

Emily Grace Fritz, LCSW

  • Clinical Social Worker
  • Middlebury, CT
National Provider Identifier
1093047953
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005974 Issued in CT
Practice address
984 Southford Rd
Middlebury, CT 06762-3234
Phone
(203) 758-2400
NPI assigned
Feb 3, 2010
Last updated
Feb 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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 005974 CT Primary

Addresses

Primary practice location

984 Southford Rd
Middlebury, CT 06762-3234

Mailing address

35 Sperry Rd
Watertown, CT 06795-3019

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
I20110309000329 CT Practitioner - Clinical Social Worker 6002098282 Reassigns benefits to 1 organization
Practice locations: Southbury, CT; Sandy Hook, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

107 Church Hill Rd
Suite 1
Sandy Hook, CT 06482-1194
Phone (203) 270-9888

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

800 Main St S
Suite 210
Southbury, CT 06488-4210
Phone 2032709888103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. Clinical CurrentSince Dec 5, 2010 Accepting new patients
Behavioral Health Center for Counseling & Learning, LLC PastSince May 1, 2019 Accepting new patients
Compassionate Care Counseling LLC PastSince Feb 7, 2021 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

22 Old Waterbury Rd
Southbury, CT 06488
Phone (203) 262-4200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1093047953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SPERRY RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 SOUTHFORD RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067623234",
            "telephone_number": "203-758-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "EMILY",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

Verify at the official NPI Registry.