Individual provider Active NPI

Deborah Ann Sakal, LCSW

  • Clinical Social Worker
  • Monroe, CT
National Provider Identifier
1437490067
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006648 Issued in CT
Practice address
477 Main St
Suite 208
Monroe, CT 06468-1139
Phone
(203) 268-1390
Fax
(203) 220-2247
NPI assigned
Mar 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

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 006648 CT Primary

Addresses

Primary practice location

477 Main St
Suite 208
Monroe, CT 06468-1139

Mailing address

PO Box 122
Monroe, CT 06468-0122
Phone (203) 268-1390

Other names 1

  • Ms. Deborah Ann Primps Former name

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
I20140701000920 CT Practitioner - Clinical Social Worker 9739304098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

477 Main St
Suite 208
Monroe, CT 06468-1139
Phone (203) 268-1390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006648CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of Monroe, LLC Clinical CurrentSince Mar 1, 2020 Accepting new patients
Yale New Haven Hospital CurrentSince Mar 19, 2009 Accepting new patients
Southern Connecticut Counseling Services LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

477 Main St
Ste 208
Monroe, CT 06468
Phone (203) 220-2208

184 Liberty St
New Haven, CT 06519
Phone (203) 688-9704

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1437490067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064680122",
            "telephone_number": "203-268-1390",
            "fax_number": "203-220-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 MAIN ST",
            "address_2": "SUITE 208",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681139",
            "telephone_number": "203-268-1390",
            "fax_number": "203-220-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAL",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "PRIMPS",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, CT

Sources for this page

Verify at the official NPI Registry.