Individual provider Active NPI

Cathleen Julia Nowak, MSW

  • Social Worker
  • Farmington, CT
National Provider Identifier
1346712031
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4472 Issued in CT
Practice address
10 Trotters GLN
Farmington, CT 06032-2748
Phone
(860) 878-2913
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4472 CT Primary

Addresses

Primary practice location

10 Trotters GLN
Farmington, CT 06032-2748

Mailing address

10 Trotters GLN
Farmington, CT 06032-2748
Phone (860) 878-2913

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
I20211007001769 CT Practitioner - Clinical Social Worker 8325446263 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4472CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeler Clinic Inc CurrentSince Sep 14, 2021 Accepting new patients
Wheeler Clinic Inc CurrentSince Sep 14, 2021 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jan 1, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jan 1, 2024 Accepting new patients

Locations

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

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

Interoperability endpoints

  • Direct secure messaging: cathleen.nowak.1@28623.direct.athenahealth.com
  • Direct secure messaging: cathleen.nowak.p1@direct.wheelerclinic.nextgenshare.com

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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1346712031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TROTTERS GLN",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322748",
            "telephone_number": "860-878-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TROTTERS GLN",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322748",
            "telephone_number": "860-878-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "CATHLEEN",
        "middle_name": "JULIA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "4472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.