Active NPI
Stephanie Anne Reed, LCSW
- Clinical Social Worker
- Norwich, CT
National Provider Identifier
1407154149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7358
- Practice address
- 401 W. Thames St BLDG 301
Southeastern Mental Health Authority
Norwich, CT 06360 - Phone
- (860) 859-4674
- Fax
- (860) 859-4790
- NPI assigned
- Mar 4, 2011
- 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 | 7358 | CT | Primary |
Addresses
Primary practice location
401 W. Thames St BLDG 301
Southeastern Mental Health Authority
Norwich, CT 06360
Mailing address
401 W. Thames St BLDG 301
Southeastern Mental Health Authority
Norwich, CT 06360
Phone (860) 859-4674
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 |
|---|---|---|---|
| 7358 | CT | MD | Clinical Social Worker |
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Norwich, CT
- NPI 1902831548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1407154149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W. THAMES ST BLDG 301",
"address_2": "SOUTHEASTERN MENTAL HEALTH AUTHORITY",
"city": "NORWICH",
"state": "CT",
"postal_code": "06360",
"telephone_number": "860-859-4674",
"fax_number": "860-859-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W. THAMES ST BLDG 301",
"address_2": "SOUTHEASTERN MENTAL HEALTH AUTHORITY",
"city": "NORWICH",
"state": "CT",
"postal_code": "06360",
"telephone_number": "860-859-4674",
"fax_number": "860-859-4790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "STEPHANIE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-04",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "7358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.