Katherine Louise Merrill, LCSW
Individual provider Active NPI Clinical Social Worker · Washington Depot, CT
NPI 1376853499 · NPPES record last updated Jun 17, 2015
Key facts
- NPI
- 1376853499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 10 Brinsmaid Rd
Washington Depot, CT 06794-1200 - Phone
- (203) 805-9477
- NPI assigned
- Oct 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190522001215 | CT | Practitioner - Clinical Social Worker | 7315280963 |
Reassigns benefits to 1 organization Practice locations: Thomaston, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health and Wellness Center of Greater Torrington Inc | Current |
Accepting new patients | |
| Community Health and Wellness Center of Greater Torrington Inc | Current |
Accepting new patients |
Locations
469 Migeon Ave
Torrington, CT 06790
Phone (860) 387-0439
10 Center St
Winsted, CT 06098
Phone (860) 238-4211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CT | Yes |
Addresses
Primary practice location
10 Brinsmaid Rd
Washington Depot, CT 06794-1200
Mailing address
10 Brinsmaid Rd
Washington Depot, CT 06794-1200
Phone (203) 805-9477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008003522 | Medicaid | CT |
Other providers in Washington Depot, CT
- Judith Gorra
- Allan Herbert Grunberg
- Alistair Highet
- Georgia G Hynes
- Daria S Kiernan
- F. Brian Mucha
- Carol Ann Otoole
- Craig Gerald Schoon
- Jampa Mackenzie Stewart
- Valley Spirit Cooperative and Wellness Center
All providers in Washington Depot, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.