Active NPI
Stephen Alexander Merwin, LCSW
- Clinical Social Worker
- Cromwell, CT
National Provider Identifier
1487088001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 162 West St Ste F
Cromwell, CT 06416-4405 - Phone
- (860) 613-9930
- Fax
- (860) 613-9952
- NPI assigned
- Aug 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
162 West St Ste F
Cromwell, CT 06416-4405
Mailing address
162 West St Ste F
Cromwell, CT 06416-4405
Phone (860) 613-9930
Other practice location 1
32 Laird Drive
Bristol, CT 06010
Phone (860) 508-1452
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 Hillside Ave
Naugatuck, CT 06770-4019
Phone (203) 729-0341
21 Rhodes Rd
Rocky Hill, CT 06067-1856
Phone (860) 426-7259
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11265 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Counseling and Wellness LLC | Clinical | Current | Accepting new patients |
| Stokes Counseling Services LLC | Clinical | Current | Accepting new patients |
Locations
16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341
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.
-
- Clinical Social Worker
- Rocky Hill, CT
- NPI 1477402923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1487088001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 WEST ST STE F",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064164405",
"telephone_number": "860-613-9930",
"fax_number": "860-613-9952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 WEST ST STE F",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064164405",
"telephone_number": "860-613-9930",
"fax_number": "860-613-9952"
}
],
"practiceLocations": [
{
"address_1": "32 Laird Drive",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "CT",
"postal_code": "06010",
"country_code": "US",
"telephone_number": "860-508-1452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERWIN",
"first_name": "STEPHEN",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-30",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.