Active NPI
Steven N. Simonson, LCSW, DCSW, BCD
- Clinical Social Worker
- Stonington, CT
National Provider Identifier
1164519591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004384
- Practice address
- 55 Wilcox Rd
Stonington, CT 06378-2612 - Phone
- (860) 572-8834
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New London, CT
- NPI 1629158126
Clinical, CT
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- Clinical Medical Laboratory
- Stonington, CT
- NPI 1376852558
-
- Clinical Medical Laboratory
- Waterbury, CT
- NPI 1710518824
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Connecticut Behavioral Health Assoc PC
Practice addresses (Care Compare)
41 Faire Harbour PL
New London, CT 06320-4710
Phone (860) 437-6914
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101228000152 | CT | Practitioner - Clinical Social Worker | 4385832831 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004384 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Behavioral Health Assoc, P.C. | Clinical | Current | Accepting new patients |
| Quest Diagnostics LLC | Past | Accepting new patients | |
| Quest Diagnostics LLC | Past | Accepting new patients |
Locations
41 Faire Harbour Pl
New London, CT 06320
Phone (860) 437-6914
22 Case St
Norwich, CT 06360
Phone (860) 437-6914
118 S Broad St
Pawcatuck, CT 06379
Phone (860) 572-8834
13 Babcock Ave
Plainfield, CT 06374
Phone (860) 564-2242
Interoperability endpoints
- steven.simonson.1@32885.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004384 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
55 Wilcox Rd
Stonington, CT 06378-2612
Mailing address
75 Courtland Dr
Groton, CT 06340-3852
Phone (860) 446-9601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164519591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 COURTLAND DR",
"city": "GROTON",
"state": "CT",
"postal_code": "063403852",
"telephone_number": "860-446-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WILCOX RD",
"city": "STONINGTON",
"state": "CT",
"postal_code": "063782612",
"telephone_number": "860-572-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONSON",
"first_name": "STEVEN",
"middle_name": "N.",
"credential": "LCSW, DCSW, BCD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "004384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stonington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.