Active NPI
Cynthia Jane Sepe, LCSW
- Clinical Social Worker
- Old Lyme, CT
National Provider Identifier
1447435995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 011510
- Practice address
- 12 Dennis Rd
Old Lyme, CT 06371-1864 - Phone
- (860) 227-7311
- NPI assigned
- Jan 3, 2008
- Last updated
- Aug 17, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 011510 | CT | Primary |
Addresses
Primary practice location
12 Dennis Rd
Old Lyme, CT 06371-1864
Mailing address
12 Dennis Rd
Old Lyme, CT 06371-1864
Phone (860) 227-7311
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090324000513 | CT | Practitioner - Clinical Social Worker | 3971660630 | Practice locations: Old Lyme, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12 Dennis Rd
Old Lyme, CT 06371-1864
Phone (860) 227-7311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011510 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreline Audiology, LLC | Past | Accepting new patients |
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, 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": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1447435995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 DENNIS RD",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063711864",
"telephone_number": "860-227-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 DENNIS RD",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063711864",
"telephone_number": "860-227-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPE",
"first_name": "CYNTHIA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "011510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Lyme, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.