Individual provider Active NPI

Susan Lynn Galarraga, LCSW

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1457655458
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
93 Edwards St
New Haven, CT 06511-3933
Phone
(203) 772-1270
Fax
(203) 772-0051
NPI assigned
Jan 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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 Primary

Addresses

Primary practice location

93 Edwards St
New Haven, CT 06511-3933

Mailing address

93 Edwards St
New Haven, CT 06511-3933
Phone (203) 772-1270

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
I20160531000197 CT Practitioner - Clinical Social Worker 2860782133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Psychiatric and Wellness CenterGroup PAC ID 8820315534, 5 clinicians

Practice addresses (Care Compare)

1 Bradley Rd
Suite 404
Woodbridge, CT 06525-2235
Phone (203) 298-9005

2446 Whitney Ave
FL 2
Hamden, CT 06518-3233
Phone (203) 298-9005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Psychiatric & Wellness Center CurrentSince Mar 12, 2016 Accepting new patients
Connecticut Psychiatric & Wellness Center Past Accepting new patients

Locations

2446 Whitney Ave
#2
Hamden, CT 06518
Phone (203) 298-9005

1 Bradley Rd
Ste 404
Woodbridge, CT 06525
Phone (203) 298-9005

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1457655458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 EDWARDS ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113933",
            "telephone_number": "203-772-1270",
            "fax_number": "203-772-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 EDWARDS ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113933",
            "telephone_number": "203-772-1270",
            "fax_number": "203-772-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALARRAGA",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.