Individual provider Active NPI

Janet Katherine Woronick, MSW, LCSW

  • Clinical Social Worker
  • Niantic, CT
National Provider Identifier
1396995288
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005489 Issued in CT
Practice address
4 Village Xing
Niantic, CT 06357-2363
Phone
(860) 460-6286
NPI assigned
Sep 26, 2008
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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 005489 CT Primary

Addresses

Primary practice location

4 Village Xing
Niantic, CT 06357-2363

Mailing address

4 Village Xing
Niantic, CT 06357-2363
Phone (860) 460-6286

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
I20200922000698 CT Practitioner - Clinical Social Worker 7719305846 Reassigns benefits to 1 organization
Practice locations: Niantic, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Village Xing
Niantic, CT 06357-2363
Phone (860) 460-6286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005489CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Jun 12, 2022 Accepting new patients
Summit Counseling LLC PastSince Jul 13, 2014 Accepting new patients

Locations

5 Greenwood St
Hartford, CT 06106
Phone (860) 236-2901

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1396995288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VILLAGE XING",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063572363",
            "telephone_number": "860-460-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 VILLAGE XING",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063572363",
            "telephone_number": "860-460-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORONICK",
        "first_name": "JANET",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niantic, CT

Sources for this page

Verify at the official NPI Registry.