Individual provider Active NPI

Terrian Amoy Levy

  • Social Worker
  • Hartford, CT
National Provider Identifier
1154762268
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
NONE Issued in CT
Practice address
330 Main St
Hartford, CT 06106
Phone
(413) 739-5572
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NONE CT Primary

Addresses

Primary practice location

330 Main St
Hartford, CT 06106

Mailing address

183 Ethan Dr
Windsor, CT 06095-1672
Phone (860) 888-3518

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
I20180713001467 CT Practitioner - Clinical Social Worker 0648526111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

71 W Dudley Town Rd
Bloomfield, CT 06002-5308
Phone (860) 888-3518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NONECTMDHome Health Registered Nurse
10234CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Mental Health, LLC CurrentSince Jun 1, 2018 Accepting new patients

Locations

71 W Dudley Town Rd
Bloomfield, CT 06002
Phone (860) 491-5059

330 Main St
Hartford, CT 06106
Phone (860) 518-1838

Organizations & group practices 1

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1154762268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 ETHAN DR",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951672",
            "telephone_number": "860-888-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MAIN ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "413-739-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "TERRIAN",
        "middle_name": "AMOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.