Active NPI
Paige Taylor Pratt
- Clinical Social Worker
- Middletown, CT
National Provider Identifier
1285265033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12597
- Practice address
- 675 Main St
Middletown, CT 06457-2732 - Phone
- (860) 347-6971
- NPI assigned
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12597 | CT | Primary |
Addresses
Primary practice location
675 Main St
Middletown, CT 06457-2732
Mailing address
22 Fleetwood Dr
Plainville, CT 06062-1048
Phone (860) 955-8582
Other practice location 1
43 Woodland St
Hartford, CT 06105-2363
Phone (860) 955-8582
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | prattp@wheelerclinic.org | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230926004275 | CT | Order and Referring Only - Clinical Social Worker | 6305290214 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- paige.pratt@chcict.eclinicaldirectplus.com
- paige.pratt.p1@direct.wheelerclinic.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1285265033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 FLEETWOOD DR",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060621048",
"telephone_number": "860-955-8582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 MAIN ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064572732",
"telephone_number": "860-347-6971"
}
],
"practiceLocations": [
{
"address_1": "43 Woodland St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061052363",
"country_code": "US",
"telephone_number": "860-955-8582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRATT",
"first_name": "PAIGE",
"middle_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "12597",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "prattp@wheelerclinic.org",
"affiliation": "N",
"endpointDescription": "EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "43 Woodland St",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061052363",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.