Individual provider Active NPI

Amy Fiorello, LCSW

  • Clinical Social Worker
  • Torrington, CT
National Provider Identifier
1295190718
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8918 Issued in CT
Practice address
847 E Main St
Torrington, CT 06790-3916
Phone
(860) 496-9712
Fax
(860) 496-9801
NPI assigned
Dec 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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 8918 CT Primary

Addresses

Primary practice location

847 E Main St
Torrington, CT 06790-3916

Mailing address

847 E Main St
Torrington, CT 06790-3916
Phone (860) 496-9712

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
I20160928001552 CT Practitioner - Clinical Social Worker 0648567099 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8918CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Jun 25, 2016 Accepting new patients
State of Connecticut CurrentSince Jun 25, 2016 Accepting new patients

Locations

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408

Organizations & group practices 2

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": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1295190718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 E MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903916",
            "telephone_number": "860-496-9712",
            "fax_number": "860-496-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 E MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903916",
            "telephone_number": "860-496-9712",
            "fax_number": "860-496-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORELLO",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.