Active NPI
Sara Elizabeth Wrenn, LCSW
- Social Worker
- Hamden, CT
National Provider Identifier
1124352679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8273
- Practice address
- 1400 Whitney Ave
Hamden, CT 06517-2459 - Phone
- (203) 248-2116
- Fax
- (203) 287-9815
- NPI assigned
- Sep 30, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | 8273 | CT | Primary |
Addresses
Primary practice location
1400 Whitney Ave
Hamden, CT 06517-2459
Mailing address
1400 Whitney Ave
Hamden, CT 06517-2459
Phone (203) 248-2116
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 |
|---|---|---|---|
| 8273 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porters House | Current | Accepting new patients | |
| The Children'S Center of Hamden, Inc. | Past | Accepting new patients | |
| The Children'S Center of Hamden, Inc. | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waterbury, CT
- NPI 1669940599
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Hamden, CT
- NPI 1215271705
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Hamden, CT
- NPI 1225042542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1124352679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065172459",
"telephone_number": "203-248-2116",
"fax_number": "203-287-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065172459",
"telephone_number": "203-248-2116",
"fax_number": "203-287-9815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRENN",
"first_name": "SARA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-30",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "8273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.