Individual provider Active NPI

Steven Jay Difilippo, LCSW

  • Clinical Social Worker
  • Groton, CT
National Provider Identifier
1174745350
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005520 Issued in CT
Practice address
1 Wahoo Ave
Navsubasenlon
Groton, CT 06340-2324
Phone
(860) 694-1637
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005520 CT Primary

Addresses

Primary practice location

1 Wahoo Ave
Navsubasenlon
Groton, CT 06340-2324

Mailing address

26 Pleasant Valley Rd
Clinton, CT 06413-1204
Phone (860) 669-5077

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
I20110307000075 CT Practitioner - Clinical Social Worker 4486836855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Halls Rd
Suite 211
Old Lyme, CT 06371-1457
Phone (860) 304-7422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5520CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transcendere, LLC CurrentSince Aug 19, 2014 Accepting new patients

Locations

19 Halls Rd
Ste 211
Old Lyme, CT 06371
Phone (860) 304-7422

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1174745350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PLEASANT VALLEY RD",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064131204",
            "telephone_number": "860-669-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WAHOO AVE",
            "address_2": "NAVSUBASENLON",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402324",
            "telephone_number": "860-694-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFILIPPO",
        "first_name": "STEVEN",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

Verify at the official NPI Registry.