Anna Ebora, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11025 Issued in CT

Practice address

189 Storrs Rd
Mansfield Center, CT 06250-1683

Phone

(860) 465-5922

Fax

(860) 456-1164

NPI assigned

Sep 8, 2016

Last updated

May 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: annaf.ebora@xdr.hhchealthdirect.org

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1124575006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BEVERLY RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191712",
            "telephone_number": "860-268-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 STORRS RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501683",
            "telephone_number": "860-465-5922",
            "fax_number": "860-456-1164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 High St",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011991006",
            "country_code": "US",
            "telephone_number": "413-495-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBORA",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Paul Dugan, M.D.
• Karen V Duhamel, R.N.
• Katherine Ann Dunn, RN
• Cindy Dupointe
• Autumn Dwy, LMSW
• Naushad Ratan Edibam, DMD
• Inge-Marie Eigsti, PH.D.
• Claire Ellerbrock, APRN
• Craig Russell Elliott, M.D.
• Sherri Anne Ericksen, DC

• Clinical Social Worker in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.