Individual provider Active NPI

Erin Gilmore

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1497180996
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
010555 Issued in CT
Practice address
664 Prospect Ave FL 2
Hartford, CT 06105-4203
Phone
(860) 966-3112
NPI assigned
Sep 4, 2013
Last updated
Sep 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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 010555 CT Primary

Addresses

Primary practice location

664 Prospect Ave FL 2
Hartford, CT 06105-4203

Mailing address

664 Prospect Ave FL 2
Hartford, CT 06105-4203
Phone (860) 467-2210

Other practice location 1

2400 Tamarack Ave Ste 203
South Windsor, CT 06074-5559
Phone (860) 467-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220111002167 MA Practitioner - Clinical Social Worker 9436492360 Practice locations: Wilmington, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

226 Lowell St
Suite B7
Wilmington, MA 01887-3073
Phone (860) 251-9121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10555CTMDSocial Worker
010555CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Steady Ground PLLC Clinical Current Accepting new patients
Erin Gilmore, LCSW, LLC. Clinical PastSince Apr 2, 2019 Accepting new patients

Locations

74 Northeastern Blvd
Ste 10A
Nashua, NH 03062
Phone (603) 889-1090

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": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1497180996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 PROSPECT AVE FL 2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054203",
            "telephone_number": "860-467-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 PROSPECT AVE FL 2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054203",
            "telephone_number": "860-966-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Tamarack Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060745559",
            "country_code": "US",
            "telephone_number": "860-467-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.