Individual provider Active NPI

Nancy Segelstein, LSCW

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1316240963
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
010359 Issued in CT
Practice address
17 S Highland St
West Hartford, CT 06119-1826
Phone
(860) 258-4171
NPI assigned
Dec 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 010359 CT Primary
Clinical Social Worker 1041C0700X 44SC05464200 NJ

Addresses

Primary practice location

17 S Highland St
West Hartford, CT 06119-1826

Mailing address

431 Trailsend Dr
Torrington, CT 06790-2212
Phone (908) 902-0037

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
I20201222002454 CT Practitioner - Clinical Social Worker 0749462901 Reassigns benefits to 1 organization
Practice locations: Torrington, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010359CTMDClinical Social Worker
10359CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Dec 1, 2022 Accepting new patients
Mindy Staum, LCSW, P.a Clinical CurrentSince Dec 23, 2016 Accepting new patients
World of Wellness, LLC Past Accepting new patients
Center for Marriage & Family Therapy, P.C. Clinical PastSince Jan 18, 2016 Accepting new patients

Locations

77 Williams St
Lakewood, NJ 08701
Phone (732) 363-8505

710 Tennent Rd
Ste 303
Manalapan, NJ 07726
Phone (732) 580-8383

746 State Route 34
Ste 3
Matawan, NJ 07747
Phone (732) 264-8878

Organizations & group practices 4

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": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1316240963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 TRAILSEND DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067902212",
            "telephone_number": "908-902-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S HIGHLAND ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191826",
            "telephone_number": "860-258-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGELSTEIN",
        "first_name": "NANCY",
        "credential": "LSCW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010359",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05464200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.