Individual provider Active NPI

Amy Kievit Barrett

  • Clinical Social Worker
  • Bristol, CT
National Provider Identifier
1457793747
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10907 Issued in CT
Practice address
733 Hill St
Bristol, CT 06010-2243
Phone
(860) 748-1012
NPI assigned
Jul 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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 10907 CT Primary

Addresses

Primary practice location

733 Hill St
Bristol, CT 06010-2243

Mailing address

15 N Main St Ste 1004
West Hartford, CT 06107-1974
Phone (860) 748-1012

Other names 1

  • Amy Elizabeth Kievit Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10907CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Strides in Wellness LLC CurrentSince Nov 9, 2021 Accepting new patients
Healing Hoofbeats of CT, Inc Clinical PastSince Apr 1, 2020 Accepting new patients

Locations

15 N Main St
Ste 1004
West Hartford, CT 06107

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": "1374883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1457793747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N MAIN ST STE 1004",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071974",
            "telephone_number": "860-748-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 HILL ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060102243",
            "telephone_number": "860-748-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "AMY",
        "middle_name": "KIEVIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-27",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KIEVIT",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.