Organization Active NPI

Edward M. Schwartz Psychotherapy, LLC

  • Clinical Social Worker
  • Monroe, CT
National Provider Identifier
1174247092
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EDWARD M. SCHWARTZ PSYCHOTHERAPY, LLC
Practice address
238 Monroe Tpke
Monroe, CT 06468-6200
Phone
(203) 581-1889
NPI assigned
Oct 4, 2022
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Mr. Edward M Schwartz, LCSWNPI 1700537107
Title
Ceo
Phone
(203) 581-1889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

238 Monroe Tpke
Monroe, CT 06468-6200

Mailing address

132 Sturbridge LN
Trumbull, CT 06611-1047
Phone (203) 581-1889

Other practice location 1

132 Sturbridge Ln
Trumbull, CT 06611-1047
Phone (203) 581-1889

Other names 1

  • Edward M. Schwartz Psychotherapy, LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edschwartz1@earthlink.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230104001723 CT Part B Supplier - Clinic/Group Practice 2961872148 Receives reassigned benefits from 1 practitioner
Practice locations: Trumbull, CT

National Provider Directory

National Provider Directory

Locations

238 Monroe Tpke
Monroe, CT 06468
Phone (203) 581-1889

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1174247092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 STURBRIDGE LN",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111047",
            "telephone_number": "203-581-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 MONROE TPKE",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064686200",
            "telephone_number": "203-581-1889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Sturbridge Ln",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066111047",
            "country_code": "US",
            "telephone_number": "203-581-1889",
            "fax_number": "800-310-7229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDWARD M. SCHWARTZ PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-581-1889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edschwartz1@earthlink.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "132 Sturbridge Ln",
            "city": "Trumbull",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066111047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Edward M. Schwartz Psychotherapy, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.