Individual provider Active NPI

Joan G Huskins, LCSW,LADC,MSW

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1487680880
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5994 Issued in CT
Practice address
402 E Main St
Waterbury Op Adult Services
Waterbury, CT 06702-1701
Phone
(203) 755-1143
Fax
(203) 753-3274
NPI assigned
Jun 25, 2006
Last updated
Aug 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5994 CT Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 891 CT

Addresses

Primary practice location

402 E Main St
Waterbury Op Adult Services
Waterbury, CT 06702-1701

Mailing address

141 E Main St
4TH Floor Admiistration
Waterbury, CT 06702-2310
Phone (203) 574-9000

Other identifiers 17

IdentifierTypeStateIssuer
060669107OtherCTOPTUM BEHAVIORAL HEALTH/UBH GRP/FACILITY WELLMORE
060669107OtherCTUBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY
10450310-402 E MAINOtherCTBEACON HEALTH STRATEGIES, INC.
2266879OtherCTCIGNA BEHAVIORAL HEALTH
004039202MedicaidCT
CAC-4700OtherCTCAC-CERTIFIED ADDICTION COUNSELOR
060669107OtherCTUBH/CONNECTICARE WELLMORE GRP/FACILITY
7473885OtherCTAETNA BEHAVIORAL HEALTH
ICADC-4700OtherCTICADC-INTERNATIONALLY CERTIFIED ADDICTION COUNSELOR
11518584OtherCAQH
06066917OtherCTANTHEM BCBS OF CT WELLMORE GRP/FACILITY
374134OtherCTMHN TRICARE NORTH
060669107OtherCTUBH-OXFORD FREEDOM/LIBERTY WELLMORE GRP/FACILITY
374134OtherCTMHN MANAGED HEALTH NETWORK
060669107OtherCTHEALTHYCT WELLMORE GRP/FACILITY
CCDP-D-4700OtherCTCCDP-D CERTIFIED CO-OCCURING DISORDERS PROFESSIONAL-DIPLOMATE
ICCDP-D-4700OtherCTICCDP-INTERNATIONALLY CERTIFIED CO-OCCURRING DISORDERS PROFESSIONAL

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
I20060302000346 CT Practitioner - Clinical Social Worker 9032125869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Staywell Health Care Inc.Group PAC ID 6305750480, 43 clinicians

Practice addresses (Care Compare)

402 E Main St
Waterbury, CT 06702-1701
Phone (203) 755-1143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
891CTMDPhysical Therapy Assistant
5994CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmore, Inc. Current Accepting new patients

Locations

141 E Main St
Fl 2
Waterbury, CT 06702
Phone (203) 723-9599

141 E Main St
Fl 4
Waterbury, CT 06702
Phone (203) 754-4125

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1487680880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E MAIN ST",
            "address_2": "4TH FLOOR ADMIISTRATION",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022310",
            "telephone_number": "203-574-9000",
            "fax_number": "203-574-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E MAIN ST",
            "address_2": "WATERBURY OP ADULT SERVICES",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021701",
            "telephone_number": "203-755-1143",
            "fax_number": "203-753-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSKINS",
        "first_name": "JOAN",
        "middle_name": "G",
        "credential": "LCSW,LADC,MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "5994",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "891",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM BEHAVIORAL HEALTH/UBH    GRP/FACILITY WELLMORE",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH-UNITED HEALTHCARE   WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES, INC.",
            "identifier": "10450310-402 E MAIN",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2266879",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004039202",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAC-CERTIFIED ADDICTION COUNSELOR",
            "identifier": "CAC-4700",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH/CONNECTICARE     WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "7473885",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICADC-INTERNATIONALLY CERTIFIED ADDICTION COUNSELOR",
            "identifier": "ICADC-4700",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11518584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF CT    WELLMORE GRP/FACILITY",
            "identifier": "06066917",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN TRICARE NORTH",
            "identifier": "374134",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH-OXFORD FREEDOM/LIBERTY  WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN MANAGED HEALTH NETWORK",
            "identifier": "374134",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHYCT     WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCDP-D CERTIFIED CO-OCCURING DISORDERS PROFESSIONAL-DIPLOMATE",
            "identifier": "CCDP-D-4700",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICCDP-INTERNATIONALLY CERTIFIED CO-OCCURRING DISORDERS PROFESSIONAL",
            "identifier": "ICCDP-D-4700",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.