Active NPI
Emily Atwell, DSW, LCSW, LMFT
- Clinical Social Worker
- Greenwich, CT
National Provider Identifier
1417338906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10341
- Practice address
- 34 E Putnam Ave Ste 121
Greenwich, CT 06830-5442 - Phone
- (212) 847-0149
- NPI assigned
- Jun 10, 2015
- Last updated
- Oct 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW018569 | PA | |
| Clinical Social Worker | 1041C0700X | 10341 | CT | Primary |
| Marriage & Family Therapist | 106H00000X | 001308 | NY |
Addresses
Primary practice location
34 E Putnam Ave Ste 121
Greenwich, CT 06830-5442
Mailing address
160 Morgan St
Apt 3202
Jersey City, NJ 07302-6237
Phone (215) 262-2731
Other practice location 1
210 Central Park S
New York, NY 10019-1428
Phone (646) 414-1446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E232833266 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW018569 | PA | MD | Clinical Social Worker |
| 001308 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1417338906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 MORGAN ST",
"address_2": "APT 3202",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073026237",
"telephone_number": "215-262-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 E PUTNAM AVE STE 121",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068305442",
"telephone_number": "212-847-0149"
}
],
"practiceLocations": [
{
"address_1": "210 Central Park S",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100191428",
"country_code": "US",
"telephone_number": "646-414-1446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATWELL",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "DSW, LCSW, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-10",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW018569",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "10341",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001308",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "E232833266",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.