Individual provider Active NPI

Patricia Segal

  • Clinical Social Worker
  • New Britain, CT
National Provider Identifier
1174958672
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9699 Issued in CT
Practice address
270 John Downey Dr
New Britain, CT 06051-2906
Phone
(860) 229-4830
Fax
(860) 229-8886
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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 9699 CT Primary

Addresses

Primary practice location

270 John Downey Dr
New Britain, CT 06051-2906

Mailing address

270 John Downey Dr
New Britain, CT 06051-2906
Phone (860) 229-4830

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
I20170214000766 CT Practitioner - Clinical Social Worker 0547543720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Room to Grow CounselingGroup PAC ID 4486195260, 3 clinicians

Practice addresses (Care Compare)

915 Sullivan Ave
Suite 4a
South Windsor, CT 06074-2165
Phone (860) 255-8577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9699CTMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: patricia.segal@xdr.hhchealthdirect.org

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": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1174958672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 JOHN DOWNEY DR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512906",
            "telephone_number": "860-229-4830",
            "fax_number": "860-229-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 JOHN DOWNEY DR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512906",
            "telephone_number": "860-229-4830",
            "fax_number": "860-229-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.