Active NPI
Hillary Stern, LCSW
- Clinical Social Worker
- Mansfield Center, CT
National Provider Identifier
1366593865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 006032
- Practice address
- 134 A Conantville Road
Mansfield Center, CT 06250 - Phone
- (860) 208-8519
- Fax
- (860) 429-2227
- NPI assigned
- Jan 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006032 | CT | Primary |
Addresses
Primary practice location
134 A Conantville Road
Mansfield Center, CT 06250
Mailing address
PO Box 413
Mansfield Center, CT 06250-0413
Phone (860) 208-8519
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7306143 | Other | CT | AETNA |
| 140006032CT01 | Other | ANTHEM CENTURY - PPO PRODUCTS | |
| 004267416 | Medicaid | CT | |
| 140006032CT01 | Other | CT | ANTHEM BLUE CARE |
| 395038 | Other | CT | HEALTHNET MHN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060424000302 | CT | Practitioner - Clinical Social Worker | 4082624960 | Practice locations: Mansfield Center, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
134 A Conantville Rd
Mansfield Center, CT 06250-1610
Phone (860) 208-8510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natchaug Hospital, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric Hospital
- Mansfield Center, CT
- NPI 1295811321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1366593865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 413",
"city": "MANSFIELD CENTER",
"state": "CT",
"postal_code": "062500413",
"telephone_number": "860-208-8519",
"fax_number": "860-423-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 A CONANTVILLE ROAD",
"city": "MANSFIELD CENTER",
"state": "CT",
"postal_code": "06250",
"telephone_number": "860-208-8519",
"fax_number": "860-429-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "HILLARY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "006032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7306143",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM CENTURY - PPO PRODUCTS",
"identifier": "140006032CT01",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004267416",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CARE",
"identifier": "140006032CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET MHN",
"identifier": "395038",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield Center, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.