Individual provider Active NPI

Hannah C Leiterman, M.A., L.C.S.W.

  • Clinical Social Worker
  • West Haven, CT
National Provider Identifier
1205097300
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006778 Issued in CT
Practice address
114 Boston Post Rd
Errera Community Care Center
West Haven, CT 06516-2043
Phone
(203) 479-8031
Fax
(203) 479-8001
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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 006778 CT Primary

Addresses

Primary practice location

114 Boston Post Rd
Errera Community Care Center
West Haven, CT 06516-2043

Mailing address

114 Boston Post Rd
Errera Community Care Center
West Haven, CT 06516-2043
Phone (203) 479-8031

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
I20101022000894 CT Practitioner - Clinical Social Worker 5092908012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
006778CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of New Haven Inc. Clinical CurrentSince Nov 11, 2019 Accepting new patients
Spectrum Psychiatric Group PC Past Accepting new patients
Jewish Family Service of New Haven Inc PastSince Nov 11, 2019 Accepting new patients
Spectrum Psychiatric Group PC Past Accepting new patients

Locations

1440 Whalley Ave
New Haven, CT 06515
Phone (203) 389-5599

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/jfsnh/r4/

Organizations & group practices 4

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1205097300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BOSTON POST RD",
            "address_2": "ERRERA COMMUNITY CARE CENTER",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162043",
            "telephone_number": "203-479-8031",
            "fax_number": "203-479-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BOSTON POST RD",
            "address_2": "ERRERA COMMUNITY CARE CENTER",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162043",
            "telephone_number": "203-479-8031",
            "fax_number": "203-479-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITERMAN",
        "first_name": "HANNAH",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "M.A., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.