Individual provider Active NPI

Steven G Simon, LCSW

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1386656254
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005897 Issued in CT
Practice address
2348 Whitney Ave
Suite # 2
Hamden, CT 06518-3512
Phone
(203) 287-2488
Fax
(203) 287-9133
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005897 CT Primary

Addresses

Primary practice location

2348 Whitney Ave
Suite # 2
Hamden, CT 06518-3512

Mailing address

409 Aspen Glen Dr
Hamden, CT 06518-3794
Phone (203) 288-7309

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
I20050829000207 CT Practitioner - Clinical Social Worker 5496786535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2348 Whitney Ave
Suite 2
Hamden, CT 06518-3512
Phone (203) 287-2488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steven G Simon LCSW LLC Clinical CurrentSince Feb 10, 2010 Accepting new patients
Catholic Charities, Inc. - Archdiocese of Hartford Past Accepting new patients
Catholic Charities, Inc. - Archdioceseof Hartford Past Accepting new patients

Locations

2348 Whitney Ave
Ste 2
New Haven, CT 06518
Phone (203) 287-2488

Interoperability endpoints

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

Organizations & group practices 3

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386656254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ASPEN GLEN DR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183794",
            "telephone_number": "203-288-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 WHITNEY AVE",
            "address_2": "SUITE # 2",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183512",
            "telephone_number": "203-287-2488",
            "fax_number": "203-287-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "STEVEN",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.