Keeley Walcott

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7535 Issued in CT

Practice address

249 Winsted Rd
Torrington, CT 06790-2958

Phone

(860) 482-1560

Fax

(860) 496-3868

NPI assigned

Feb 1, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.14 of 100Reported as group

Quality

71.85

Improvement activities

40

Cost

75.41

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740
  Medicare reassignment NPD

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422748800000",
    "number": "1487044202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 WINSTED RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067902958",
            "telephone_number": "860-482-1560",
            "fax_number": "860-496-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 WINSTED RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067902958",
            "telephone_number": "860-482-1560",
            "fax_number": "860-496-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCOTT",
        "first_name": "KEELEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-01",
        "last_updated": "2015-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "7535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelena Vishnepolskaya, PHARMD.
• Jaclyn Marie Vitkovsky
• Susan Vontell, APRN
• Taylor Nicole Wachtarz, LPC
• Wal-Mart Stores East LP
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Douglas Roberts Walker, CRNA, APRN
• Andre Wang, PHARMD

• Clinical Social Worker in Torrington, CT
• Providers in Torrington, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; 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.

Verify at the official NPI Registry.