Individual provider Active NPI

Olivia Rae Giacoppi, MSW, LCSW

  • Clinical Social Worker
  • Ridgefield, CT
National Provider Identifier
1114783123
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13329 Issued in CT
Practice address
38A Grove St Ste 101
Ridgefield, CT 06877-4664
Phone
(203) 896-8888
Fax
(203) 403-9550
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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 13329 CT Primary

Addresses

Primary practice location

38A Grove St Ste 101
Ridgefield, CT 06877-4664

Mailing address

38A Grove St Ste 101
Ridgefield, CT 06877-4664
Phone (203) 896-8888

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
I20240326002515 CT Practitioner - Clinical Social Worker 0941647911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Impact Health Psych PCGroup PAC ID 6204248149, 20 clinicians
Emh Family Services PCGroup PAC ID 9931561982, 27 clinicians

Practice addresses (Care Compare)

240 Indian River Rd
Suite C7
Orange, CT 06477-3691
Phone (203) 497-3867

38 A Grove St
Suite 101
Ridgefield, CT 06877-4664
Phone (203) 689-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Family Services PC CurrentSince Apr 15, 2024 Accepting new patients

Locations

55 Walls Dr
Ste 206
Fairfield, CT 06824
Phone (203) 635-5776

38A Grove St
Ste 101
Ridgefield, CT 06877
Phone (203) 896-8888

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": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1114783123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38A GROVE ST STE 101",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774664",
            "telephone_number": "203-896-8888",
            "fax_number": "203-403-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38A GROVE ST STE 101",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774664",
            "telephone_number": "203-896-8888",
            "fax_number": "203-403-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOPPI",
        "first_name": "OLIVIA",
        "middle_name": "RAE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.