Individual provider Active NPI

Amanda L Sirignano, LCSW

  • Clinical Social Worker
  • Torrington, CT
National Provider Identifier
1114174356
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007681 Issued in CT
Practice address
540 Litchfield St
C/O Irene Benza
Torrington, CT 06790-6679
Phone
(860) 496-6361
Fax
(860) 496-6389
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 077489-1 NY
Clinical Social Worker 1041C0700X 007681 CT Primary

Addresses

Primary practice location

540 Litchfield St
C/O Irene Benza
Torrington, CT 06790-6679

Mailing address

540 Litchfield St
C/O Irene Benza
Torrington, CT 06790-6679
Phone (860) 496-6361

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
I20110824000264 CT Practitioner - Clinical Social Worker 7012187321 Reassigns benefits to 1 organization
Practice locations: Middlebury, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077489-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte Hungerford Hospital CurrentSince Aug 16, 2011 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Aug 16, 2011 Accepting new patients
Amanda Sirignano Clinical PastSince Jan 1, 2017 Accepting new patients

Locations

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

Interoperability endpoints

  • Direct secure messaging: amanda.sirignano@xdr.hhchealthdirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1114174356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "address_2": "C/O IRENE BENZA",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6361",
            "fax_number": "860-496-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "address_2": "C/O IRENE BENZA",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6361",
            "fax_number": "860-496-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIGNANO",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077489-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.