Individual provider Active NPI

Steven N. Simonson, LCSW, DCSW, BCD

  • Clinical Social Worker
  • Stonington, CT
National Provider Identifier
1164519591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004384 Issued in CT
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.

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 38 clinicians

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000152 CT Practitioner - Clinical Social Worker 4385832831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004384CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Behavioral Health Assoc, P.C. Clinical CurrentSince Mar 1, 2002 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

  • Direct secure messaging: steven.simonson.1@32885.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 004384 CT Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.