Individual provider Active NPI

Rebecca A Humphrey, LMSW

  • Social Worker
  • Torrington, CT
National Provider Identifier
1093274292
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4565 Issued in CT
Practice address
58 High St
Torrington, CT 06790-5106
Phone
(860) 496-2100
Fax
(860) 496-2111
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4565 CT Primary

Addresses

Primary practice location

58 High St
Torrington, CT 06790-5106

Mailing address

58 High St
Torrington, CT 06790-5106
Phone (860) 496-2100

Other identifiers 1

IdentifierTypeStateIssuer
999OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca.humphrey@mccallcenterct.org Direct

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
I20220110001260 CT Practitioner - Clinical Social Worker 2860884509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCall Foundation, Inc.Group PAC ID 0345417929, 12 clinicians

Practice addresses (Care Compare)

58 High St
Torrington, CT 06790-5106
Phone (860) 496-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McCall Foundation, Inc. CurrentSince Nov 1, 2021 Accepting new patients
McCall Foundation Inc. CurrentSince Nov 1, 2021 Accepting new patients

Locations

24 Shelter Rock Rd
Danbury, CT 06810
Phone (203) 753-7778

58 High St
Torrington, CT 06790
Phone (860) 496-2107

900 Watertown Ave
Waterbury, CT 06708
Phone (203) 756-8984

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1093274292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 HIGH ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905106",
            "telephone_number": "860-496-2100",
            "fax_number": "860-496-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 HIGH ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905106",
            "telephone_number": "860-496-2100",
            "fax_number": "860-496-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "4565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "999",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.humphrey@mccallcenterct.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "58 High St",
            "city": "Torrington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067905106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.