Individual provider Active NPI

Anna Eleanor Tralli, MSW

  • Clinical Social Worker
  • Higganum, CT
National Provider Identifier
1487708426
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006828 Issued in CT
Practice address
48 High St
Higganum, CT 06441-4226
Phone
(860) 575-4027
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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 006828 CT Primary

Addresses

Primary practice location

48 High St
Higganum, CT 06441-4226

Mailing address

48 High St
Higganum, CT 06441-4226
Phone (860) 575-4027

Other identifiers 2

IdentifierTypeStateIssuer
006828OtherCTCT LICENSE
1487708426MedicaidCT

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006828CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeler Clinic Inc CurrentSince Apr 17, 2024 Accepting new patients
Wheeler Clinic Inc CurrentSince Apr 17, 2024 Accepting new patients

Locations

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

Interoperability endpoints

  • Direct secure messaging: anna.tralli.p1@direct.wheelerclinic.nextgenshare.com

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1487708426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HIGH ST",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064414226",
            "telephone_number": "860-575-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 HIGH ST",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064414226",
            "telephone_number": "860-575-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRALLI",
        "first_name": "ANNA",
        "middle_name": "ELEANOR",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-05-31",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "006828",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487708426",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Higganum, CT

Sources for this page

Verify at the official NPI Registry.