Marta Southworth, BSW, MSW, LCSW, CBIS

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8984 Issued in CT

Practice address

41 S Main St Ste 2
West Hartford, CT 06107-2448

Phone

(860) 305-3585

NPI assigned

Aug 31, 2010

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marta Grala Former name

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Hospital of Central Connecticut at New Britain General and BradleyGroup PAC ID 6507776564, 396 clinicians

Midstate Medical CenterGroup PAC ID 7416840699, 187 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035

Merit-based Incentive Payment System (MIPS)

Final score

94 of 100Reported as group

Quality

83.66

Promoting interoperability

100

Improvement activities

40

Cost

66.78

Merit-based Incentive Payment System (MIPS)

Final score

97.06 of 100Reported as group

Quality

87.5

Promoting interoperability

100

Improvement activities

40

Cost

77.51

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marta.southworth@xdr.hhchealthdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midstate Medical Center

  • General Acute Care Hospital
  • Meriden, CT
  • NPI 1154425288
  Medicare reassignment Care Compare group NPD
• The Hospital of Central Connecticut at New Britain General and Bradley

  dba The Hospital of Central Connecticut

  • Hospitalist Physician
  • New Britain, CT
  • NPI 1063461481
  Medicare reassignment Care Compare group NPD
• Marta Southworth LLC

  • Clinical Social Worker
  • West Hartford, CT
  • NPI 1912551003
  Authorized official Same address or phone
• Midstate Medical Center

  • Psychiatric Hospital Unit
  • Meriden, CT
  • NPI 1316022718
  NPD
• Midstate Medical Center

  • General Acute Care Hospital
  • Meriden, CT
  • NPI 1427007848
  NPD
• The Hospital of Central Connecticut at New Britain General and Bradley

  dba The Hospital of Central Connecticut

  • Psychiatric Hospital Unit
  • New Britain, CT
  • NPI 1992867006
  NPD
• The Hospital of Central Connecticut at New Britain General and Bradley

  dba The Hospital of Central Connecticut

  • General Acute Care Hospital
  • New Britain, CT
  • NPI 1053477075
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New Britain General Hospital

  • General Acute Care Hospital
  • New Britain, CT
  • NPI 1548225360
  Care Compare affiliation
• The Hospital of Central Connecticut at New Britain General and Bradley

  dba The Hospital of Central Connecticut

  • General Acute Care Hospital
  • New Britain, CT
  • NPI 1053477075
  Care Compare affiliation

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1184930901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PINECREST DR",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060623251",
            "telephone_number": "860-305-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S MAIN ST STE 2",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072448",
            "telephone_number": "860-305-3585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Cedar St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "06052",
            "country_code": "US",
            "telephone_number": "860-224-5267",
            "fax_number": "860-224-5752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHWORTH",
        "first_name": "MARTA",
        "name_prefix": "Mrs.",
        "credential": "BSW, MSW, LCSW, CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "8984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "GRALA",
            "prefix": "MS.",
            "credential": "BSW, MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Social Worker in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.