Individual provider Active NPI

Seniel Lucien, LCSW

  • Clinical Social Worker
  • Chester, CT
National Provider Identifier
1346466729
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006341 Issued in CT
Practice address
19 W Main St
Chester, CT 06412-1302
Phone
(860) 526-8109
Fax
(860) 526-8109
NPI assigned
Apr 17, 2007
Last updated
Sep 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 006341 CT
Clinical Social Worker 1041C0700X PO333331 NY
Clinical Social Worker 1041C0700X 006341 CT Primary
Psychoanalyst 102L00000X 000751 NY

Addresses

Primary practice location

19 W Main St
Chester, CT 06412-1302

Mailing address

19 W Main St
Chester, CT 06412-1302
Phone (860) 526-8109

Other identifiers 1

IdentifierTypeStateIssuer
008045870MedicaidCT

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
I20131001000243 CT Practitioner - Clinical Social Worker 7517191711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 N Main St
Suite 315
West Hartford, CT 06107-1901
Phone (860) 526-8109

30 Kings LN
Essex, CT 06426-1064
Phone (860) 526-8109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000751NYMDPsychoanalyst
006341CTMDClinical Social Worker
PO333331NYMDClinical Social Worker
033333NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Seniel Lucien LLC Psychoanalyst CurrentSince Jul 11, 2014 Accepting new patients
Bleuler Psychotherapy Center, Inc. PastSince Mar 10, 1999 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1346466729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W MAIN ST",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121302",
            "telephone_number": "860-526-8109",
            "fax_number": "860-526-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W MAIN ST",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121302",
            "telephone_number": "860-526-8109",
            "fax_number": "860-526-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIEN",
        "first_name": "SENIEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "006341",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PO333331",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006341",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000751",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008045870",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, CT

Sources for this page

Verify at the official NPI Registry.