Individual provider Active NPI

Renee Norkawich, LMFT

  • Marriage & Family Therapist
  • New Haven, CT
National Provider Identifier
1164613048
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001138 Issued in CT
Practice address
1435 State St
New Haven, CT 06511-2702
Phone
(203) 507-7512
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001138 CT Primary

Addresses

Primary practice location

1435 State St
New Haven, CT 06511-2702

Mailing address

27A Cherry St
Branford, CT 06405-3024
Phone (203) 507-7512

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
I20240223002296 CT Practitioner - Marriage and Family Therapist 3678918174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Town of BranfordGroup PAC ID 9234020165, 10 clinicians

Practice addresses (Care Compare)

342 Harbor St
Branford, CT 06405-4540
Phone (203) 481-4248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001138CTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Branford Marriage & Family Therapist CurrentSince Feb 14, 2024 Accepting new patients

Locations

342 Harbor St
Branford, CT 06405
Phone (203) 481-4248

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1164613048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27A CHERRY ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053024",
            "telephone_number": "203-507-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 STATE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112702",
            "telephone_number": "203-507-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORKAWICH",
        "first_name": "RENEE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.