Active NPI
Hetal A. Patel, LCSW
- Clinical Social Worker
- Middletown, CT
National Provider Identifier
1114175494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 006793
- Practice address
- 28 Crescent St
Family Advocacy Program
Middletown, CT 06457-3654 - Phone
- (860) 358-6394
- Fax
- (860) 358-6748
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 006793 | CT | Primary |
Addresses
Primary practice location
28 Crescent St
Family Advocacy Program
Middletown, CT 06457-3654
Mailing address
28 Crescent St
Family Advocacy Program
Middletown, CT 06457-3654
Phone (860) 358-6394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006793 | Other | CT | LCSW CT LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006793 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219968000000",
"number": "1114175494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CRESCENT ST",
"address_2": "FAMILY ADVOCACY PROGRAM",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573654",
"telephone_number": "860-358-6394",
"fax_number": "860-358-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 CRESCENT ST",
"address_2": "FAMILY ADVOCACY PROGRAM",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573654",
"telephone_number": "860-358-6394",
"fax_number": "860-358-6748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HETAL",
"middle_name": "A.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2008-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "006793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW CT LICENSE",
"identifier": "006793",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.