Individual provider Active NPI

Maureen O'Farrell, LMSW

  • Clinical Social Worker
  • Sherman, CT
National Provider Identifier
1154742534
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089725-1 Issued in NY
Practice address
5 Autumn Dr
Sherman, CT 06784-2212
Phone
(860) 915-0675
NPI assigned
Jan 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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 089725-1 NY Primary

Addresses

Primary practice location

5 Autumn Dr
Sherman, CT 06784-2212

Mailing address

5 Autumn Dr
Sherman, CT 06784-2212
Phone (860) 915-0675

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
I20170607000364 CT Practitioner - Clinical Social Worker 0648547026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interface Counseling PLLCGroup PAC ID 9537531454, 6 clinicians

Practice addresses (Care Compare)

46 Danbury Rd
Suite 6
New Milford, CT 06776-3403
Phone (860) 354-5116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089725-1NYMDClinical Social Worker
9508CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interface Counseling, PLLC Clinical CurrentSince Apr 16, 2023 Accepting new patients
Northwest Hills Youth and Family Services Inc. Past Accepting new patients

Locations

46 Danbury Rd
Ste 6
New Milford, CT 06776
Phone (860) 354-1596

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1154742534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 AUTUMN DR",
            "city": "SHERMAN",
            "state": "CT",
            "postal_code": "067842212",
            "telephone_number": "860-915-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 AUTUMN DR",
            "city": "SHERMAN",
            "state": "CT",
            "postal_code": "067842212",
            "telephone_number": "860-915-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'FARRELL",
        "first_name": "MAUREEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089725-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, CT

Sources for this page

Verify at the official NPI Registry.