Individual provider Active NPI

Christen Susanne Carnes, MSW, LCSW

  • Clinical Social Worker
  • Ridgefield, CT
National Provider Identifier
1265284657
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13619 Issued in CT
Practice address
38A Grove St Ste 101
Ridgefield, CT 06877-4664
Phone
(203) 896-8888
Fax
(203) 403-9550
NPI assigned
Apr 1, 2024
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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 13619 CT Primary

Addresses

Primary practice location

38A Grove St Ste 101
Ridgefield, CT 06877-4664

Mailing address

16 Oakwood Ave Apt 2
Norwalk, CT 06850-1344
Phone (203) 979-3352

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
I20240504000259 CT Practitioner - Clinical Social Worker 4385084540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emh Family Services PCGroup PAC ID 9931561982, 27 clinicians

Practice addresses (Care Compare)

38 A Grove St
Suite 101
Ridgefield, CT 06877-4664
Phone (203) 689-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13619CTMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Family Services PC CurrentSince Jun 3, 2024 Accepting new patients

Locations

55 Walls Dr
Ste 206
Fairfield, CT 06824
Phone (203) 635-5776

38A Grove St
Ste 101
Ridgefield, CT 06877
Phone (203) 896-8888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1265284657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OAKWOOD AVE APT 2",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068501344",
            "telephone_number": "203-979-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38A GROVE ST STE 101",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774664",
            "telephone_number": "203-896-8888",
            "fax_number": "203-403-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNES",
        "first_name": "CHRISTEN",
        "middle_name": "SUSANNE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.