Individual provider Active NPI

Debra W Hanratty, LCSW,BSW,MSW

  • Clinical Social Worker
  • Meriden, CT
National Provider Identifier
1487774378
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5152 Issued in CT
Practice address
883 Paddock Ave
Meriden, CT 06450-7044
Phone
(203) 630-5305
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 5152 CT Primary

Addresses

Primary practice location

883 Paddock Ave
Meriden, CT 06450-7044

Mailing address

Awaken the Power Therapy, LLC 58 River Street
Suite#10
Milford, CT 06460-7044
Phone (203) 693-1050

Other identifiers 6

IdentifierTypeStateIssuer
14026266OtherCTCAQH
472092928OtherCTANTHEM BCBS OF CT BEHAVIORAL HEALTH
008038010MedicaidCT
472092928OtherCTCIGNA BEHAVIORAL HEALTH
2651131OtherCTVALUE OPTIONS/RUSHFORD
2651131OtherCTUNITED BEHAVIORAL HEALTH-OPTUM/RUSHFORD

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
I20090817000175 CT Practitioner - Clinical Social Worker 5991859563 Practice locations: Meriden, CT; Wallingford, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

300 Church St
Suite 202
Wallingford, CT 06492-2253
Phone (203) 592-7227

74 Forest View Rd
Northford, CT 06472-1323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silvia Sandoval, LCSW Clinical Past Accepting new patients
Awaken the Power Therapy, LLC Clinical PastSince Jan 11, 2016 Accepting new patients

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1487774378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AWAKEN THE POWER THERAPY, LLC 58 RIVER STREET",
            "address_2": "SUITE#10",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064607044",
            "telephone_number": "203-693-1050",
            "fax_number": "203-306-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 PADDOCK AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507044",
            "telephone_number": "203-630-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANRATTY",
        "first_name": "DEBRA",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "LCSW,BSW,MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "5152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14026266",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF CT BEHAVIORAL HEALTH",
            "identifier": "472092928",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008038010",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "472092928",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS/RUSHFORD",
            "identifier": "2651131",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH-OPTUM/RUSHFORD",
            "identifier": "2651131",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.