Individual provider Active NPI

Wendy M Gadwah, LCSW

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1225527724
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009849 Issued in CT
Practice address
84 Hospital Ave
Danbury, CT 06810-6047
Phone
(203) 792-0400
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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 009849 CT Primary

Addresses

Primary practice location

84 Hospital Ave
Danbury, CT 06810-6047

Mailing address

14 Cedar LN
New Milford, CT 06776-4108
Phone (203) 537-0757

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
I20181214000086 CT Practitioner - Clinical Social Worker 2062757362 Practice locations: Sandy Hook, CT; Suffield, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Connecticut School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

107 Church Hill Rd
Suite 1
Sandy Hook, CT 06482-1194
Phone (203) 270-9888

635 Thrall Ave
Suffield, CT 06078-2337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009849CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy Gadwah, LCSW Clinical CurrentSince Oct 1, 2021 Accepting new patients

Locations

107 Church Hill Rd
Ste 1
Sandy Hook, CT 06482
Phone (203) 270-9888

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1225527724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CEDAR LN",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067764108",
            "telephone_number": "203-537-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106047",
            "telephone_number": "203-792-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADWAH",
        "first_name": "WENDY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.