Active NPI
Eileen L. Shekosky, LCSW/MSW
- Clinical Social Worker
- Middletown, CT
National Provider Identifier
1154307668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 001420
- Practice address
- 770 Saybrook Rd
BLDG B
Middletown, CT 06457-4739 - Phone
- (860) 343-5388
- Fax
- (860) 343-5391
- NPI assigned
- Dec 16, 2005
- 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 | 001420 | CT | Primary |
Addresses
Primary practice location
770 Saybrook Rd
BLDG B
Middletown, CT 06457-4739
Mailing address
770 Saybrook Rd
BLDG B
Middletown, CT 06457-4739
Phone (860) 343-5388
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 768882 | Other | CT | CTCARE |
| 140001420CT01 | Other | CT | ANTHEM BLUE CROSS |
| 11244569 | Other | CT | CAQH |
| 211825 | Other | CT | MHN |
| 56140001420CT1 | Other | CT | ANTHEM/BLUECROSS |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154307668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 SAYBROOK RD",
"address_2": "BLDG B",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574739",
"telephone_number": "860-343-5388",
"fax_number": "860-343-5391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 SAYBROOK RD",
"address_2": "BLDG B",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574739",
"telephone_number": "860-343-5388",
"fax_number": "860-343-5391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEKOSKY",
"first_name": "EILEEN",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "LCSW/MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "001420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CTCARE",
"identifier": "768882",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "140001420CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11244569",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "211825",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/BLUECROSS",
"identifier": "56140001420CT1",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.