Individual provider Active NPI

Andrea Dellacorte, LCSW

  • Clinical Social Worker
  • Seymour, CT
National Provider Identifier
1447454764
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9590 Issued in CT
Practice address
11 Warren Dr
Seymour, CT 06483-3657
Phone
(203) 305-4926
NPI assigned
Jun 12, 2007
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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 9590 CT Primary

Addresses

Primary practice location

11 Warren Dr
Seymour, CT 06483-3657

Mailing address

11 Warren Dr
Seymour, CT 06483-3657
Phone (203) 305-4926

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
I20161117000686 CT Practitioner - Clinical Social Worker 8921387838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stokes Counseling Services LLCGroup PAC ID 9638504202, 43 clinicians
Southbury Adolescent and Young Adult Counseling CenterGroup PAC ID 5193221349, 15 clinicians

Practice addresses (Care Compare)

16 Hillside Ave
Naugatuck, CT 06770-4019
Phone (203) 729-0341

519 Heritage Rd
Suite 2A5
Southbury, CT 06488-6694
Phone (203) 568-5923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Counseling Services LLC Clinical CurrentSince Feb 20, 2020 Accepting new patients
Southbury Adolescent and Young Adult Counseling Center Clinical CurrentSince Jan 1, 2026 Accepting new patients

Locations

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

519 Heritage Rd
Ste 2A5
Southbury, CT 06488
Phone (203) 568-5923

26 N Main St
Ste 2A
Southington, CT 06489
Phone (203) 568-5923

Organizations & group practices 2

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1447454764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WARREN DR",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833657",
            "telephone_number": "203-305-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WARREN DR",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833657",
            "telephone_number": "203-305-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLACORTE",
        "first_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, CT

Sources for this page

Verify at the official NPI Registry.