NPIMap

Organization Active NPI

Wehamh PC

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1346958683
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WEHAMH PC
Practice address
61 S Main St Ste 214
West Hartford, CT 06107-2486
Phone
(407) 885-3570
Fax
(860) 215-3016
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Mr. David Lawrence-Hawley, LCSW
Title
Clinic Director
Phone
(407) 885-3570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

61 S Main St Ste 214
West Hartford, CT 06107-2486

Mailing address

61 S Main St Ste 214
West Hartford, CT 06107-2486
Phone (407) 885-3570

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230301000752 CT Part B Supplier - Clinic/Group Practice 4183097736 Receives reassigned benefits from 13 practitioners
Practice locations: West Hartford, CT

National Provider Directory

National Provider Directory

Locations

61 S Main St
Ste 214
West Hartford, CT 06107
Phone (860) 231-2487

61 S Main St
West Hartfrd, CT 06107
Phone (860) 236-2566

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1346958683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 S MAIN ST STE 214",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072486",
            "telephone_number": "407-885-3570",
            "fax_number": "860-215-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S MAIN ST STE 214",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072486",
            "telephone_number": "407-885-3570",
            "fax_number": "860-215-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEHAMH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE-HAWLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "407-885-3570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.