Individual provider Active NPI

Emily Atwell, DSW, LCSW, LMFT

  • Clinical Social Worker
  • Greenwich, CT
National Provider Identifier
1417338906
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10341 Issued in CT
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
E232833266OtherPAAETNA

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

LicenseStateTypeSpecialty
CW018569PAMDClinical Social Worker
001308NYMDAcupuncturist

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.

Verify at the official NPI Registry.