Active NPI
Amneris Jenice Torres, LCSW
- Clinical Social Worker
- West Hartford, CT
National Provider Identifier
1144566597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 009624
- Practice address
- 1100 New Britain Ave Ste 201
West Hartford, CT 06110-2447 - Phone
- (860) 970-8639
- NPI assigned
- Dec 12, 2012
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 009624 | CT | |
| Family Psychologist | 103TF0000X | 009624 | CT | |
| Group Psychotherapy Psychologist | 103TP2701X | 009624 | CT | |
| Clinical Social Worker | 1041C0700X | 009624 | CT | Primary |
Addresses
Primary practice location
1100 New Britain Ave Ste 201
West Hartford, CT 06110-2447
Mailing address
282 Washington St
Hartford, CT 06106-3322
Other practice location 1
896 Asylum Ave
Hartford, CT 06105-1901
Phone (860) 695-4452
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009624 | CT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Family | Current | Accepting new patients |
| First Choice Health Centers, Inc. | Past | Accepting new patients |
Locations
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1770932642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1144566597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 WASHINGTON ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NEW BRITAIN AVE STE 201",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061102447",
"telephone_number": "860-970-8639"
}
],
"practiceLocations": [
{
"address_1": "896 Asylum Ave",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061051901",
"country_code": "US",
"telephone_number": "860-695-4452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TORRES",
"first_name": "AMNERIS",
"middle_name": "JENICE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "009624",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CT",
"license": "009624",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CT",
"license": "009624",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "009624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Kristen Traboulsi, PT
- Anita Tu Tran, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.