Individual provider Active NPI

John J Joyce III, LCSW

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1285647974
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
001901 Issued in CT
Practice address
91 South Main St
3Rd Floor
West Hartford, CT 06107-3452
Phone
(860) 539-4599
Fax
(860) 561-2815
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 001901 CT Primary

Addresses

Primary practice location

91 South Main St
3Rd Floor
West Hartford, CT 06107-3452

Mailing address

170 South Main St
West Hartford, CT 06107-3452
Phone (860) 521-3929

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
I20250218003003 CT Practitioner - Clinical Social Worker 0042730244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1389 W Main St
Suite 309
Waterbury, CT 06708-3115
Phone (203) 819-0789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001901CTMDProfessional Counselor
1901CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince May 5, 2025 Accepting new patients
Behavioral Health and Wellness Solutions of CT, LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince May 5, 2025 Accepting new patients

Locations

3013 Dixwell Ave
Hamden, CT 06518
Phone (203) 399-6071

169 Main St
Fl 3
Middletown, CT 06457
Phone (610) 618-6247

1389 W Main St
Ste 309
Waterbury, CT 06708

Interoperability endpoints

  • Direct secure messaging: john.joyce.1@28623.direct.athenahealth.com

Organizations & group practices 3

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1285647974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 SOUTH MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073452",
            "telephone_number": "860-521-3929",
            "fax_number": "860-561-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SOUTH MAIN ST",
            "address_2": "3RD FLOOR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073452",
            "telephone_number": "860-539-4599",
            "fax_number": "860-561-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYCE",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "001901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.