Individual provider Active NPI

Phyllis V Digioia, LCSW

  • Clinical Social Worker
  • Glastonbury, CT
National Provider Identifier
1306950936
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006078 Issued in CT
Practice address
703 Hebron Ave Ste 2
Glastonbury, CT 06033-5001
Phone
(860) 919-9762
Fax
(203) 651-1013
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 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 006078 CT Primary

Addresses

Primary practice location

703 Hebron Ave Ste 2
Glastonbury, CT 06033-5001

Mailing address

16 Postman Hwy
North Haven, CT 06473-1906
Phone (860) 919-9762

Other identifiers 2

IdentifierTypeStateIssuer
140006078CT01OtherCTANTHEM BLUE CROSS/BLUE SH
004259439MedicaidCT

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
I20250820001079 CT Practitioner - Clinical Social Worker 3577062074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16 Postman Hwy
North Haven, CT 06473

703 Hebron Ave
Suite 2
Glastonbury, CT 06033-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006078CTMDClinical Social Worker
6078CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Honor Wellness Center Incorporated CurrentSince Jul 8, 2025 Accepting new patients

Locations

703 Hebron Ave
Ste 2
Glastonbury, CT 06033
Phone (860) 919-9762

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1306950936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POSTMAN HWY",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731906",
            "telephone_number": "860-919-9762",
            "fax_number": "203-651-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 HEBRON AVE STE 2",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335001",
            "telephone_number": "860-919-9762",
            "fax_number": "203-651-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIOIA",
        "first_name": "PHYLLIS",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SH",
            "identifier": "140006078CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004259439",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.