Individual provider Active NPI

Ann-Marie Semone Meacham, LCSW

  • Social Worker
  • Hamden, CT
National Provider Identifier
1447429204
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2337 Whitney Ave
Hamden, CT 06518-3539
Phone
(203) 606-7193
NPI assigned
Feb 26, 2008
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

2337 Whitney Ave
Hamden, CT 06518-3539

Mailing address

271 Strobel Rd
Trumbull, CT 06611-3345
Phone (203) 606-7193

Other identifiers 2

IdentifierTypeStateIssuer
004212148MedicaidCT
CTGA000525OtherCTDMHAS

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
I20120223000597 CT Practitioner - Clinical Social Worker 1850559766 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Apr 22, 2019 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Jan 1, 2017 Accepting new patients
The Connection Inc. Past Accepting new patients
The Connection Inc. Past Accepting new patients

Locations

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

181 Clifton St
New Haven, CT 06513
Phone (203) 467-1666

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

Organizations & group practices 5

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1447429204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 STROBEL RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113345",
            "telephone_number": "203-606-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183539",
            "telephone_number": "203-606-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "ANN-MARIE",
        "middle_name": "SEMONE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004212148",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMHAS",
            "identifier": "CTGA000525",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.