Active NPI
Prem Shrestha
- Clinical Social Worker
- Bristol, CT
National Provider Identifier
1093694655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 43 Prospect St
Bristol, CT 06010-5071 - Phone
- (860) 584-2105
- NPI assigned
- Aug 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
43 Prospect St
Bristol, CT 06010-5071
Mailing address
13 Deborah LN
Farmington, CT 06032-3030
Phone (860) 839-5057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1093694655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 DEBORAH LN",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060323030",
"telephone_number": "860-839-5057",
"fax_number": "860-839-5057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 PROSPECT ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060105071",
"telephone_number": "860-584-2105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRESTHA",
"first_name": "PREM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-28",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.