Active NPI
Stacey A Cartier, LCSW MPH CHES
- Clinical Social Worker
- New Haven, CT
National Provider Identifier
1386789675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05872
- Practice address
- 34 Park St
Connecticut Mental Health Center
New Haven, CT 06519 - Phone
- (203) 974-7417
- Fax
- (203) 974-7413
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 05872 | CT | Primary |
Addresses
Primary practice location
34 Park St
Connecticut Mental Health Center
New Haven, CT 06519
Mailing address
34 Park St
Connecticut Mental Health Center Office of Care MGMT
New Haven, CT 06519
Phone (203) 974-7417
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05872 | CT | MD | Clinical Social Worker |
| 5872 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Consultation & Mediation LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Hamden, CT
- NPI 1962964478
-
dba Connecticut Mental Health Center
- Psychiatric Hospital
- New Haven, CT
- NPI 1881629434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386789675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 PARK ST",
"address_2": "CONNECTICUT MENTAL HEALTH CENTER OFFICE OF CARE MGMT",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06519",
"telephone_number": "203-974-7417",
"fax_number": "203-974-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 PARK ST",
"address_2": "CONNECTICUT MENTAL HEALTH CENTER",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06519",
"telephone_number": "203-974-7417",
"fax_number": "203-974-7413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTIER",
"first_name": "STACEY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCSW MPH CHES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "05872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.