Rio Comaduran
Individual provider Active NPI Clinical Social Worker · Woodbury, CT
NPI 1477065043 · NPPES record last updated Nov 29, 2020
Key facts
- NPI
- 1477065043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 10835 (CT)
- Practice address
- 58 Pomperaug Rd
Woodbury, CT 06798-3713 - Phone
- (203) 313-5537
- NPI assigned
- Nov 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optum Behavioral Care of Connecticut PC
Practice addresses (Care Compare)
191 Albany Tpke
Suite 3
Canton, CT 06019-2571
Phone (203) 819-0789
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210601002432 | CT | Practitioner - Clinical Social Worker | 2769881309 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10835 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Connecticut, P.C. | Current |
Accepting new patients | |
| A Brand New Day ABA Services LLC | Current |
Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Clinical | Current |
Accepting new patients |
| The Connection Inc | Past | Accepting new patients |
Locations
191 Albany Tpke
Ste 3
Canton, CT 06019
169 Main St
Fl 3
Middletown, CT 06457
Phone (610) 618-6247
200 W Town St
Norwich, CT 06360
Phone (860) 886-1508
Interoperability endpoints
- rio.comaduran.1@28623.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10835 | CT | Yes |
Addresses
Primary practice location
58 Pomperaug Rd
Woodbury, CT 06798-3713
Mailing address
94 Dunne Ave
Collinsville, CT 06019-3321
Phone (860) 543-5582
Other practice location 1
17 S Highland St
West Hartford, CT 06119-1826
Phone (413) 588-8153
Other providers in Woodbury, CT
- Olivia Carty
- Kelley Castler
- Judith Mangan Charles
- Michael Stephen Chase
- Amanda Chrostowski
- Compass Behavioral Health LLC
- Phillip Corbi
- Cornerstone Physical Therapy, LLC
- Ellen Cozan Tinios
- Eva Davidson
All providers in Woodbury, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.