Individual provider Active NPI

Joy Wyatt, LCSW

  • Clinical Social Worker
  • Litchfield, CT
National Provider Identifier
1497465462
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
012489 Issued in CT
Practice address
25 South St
Litchfield, CT 06759-4005
Phone
(860) 567-4437
Fax
(860) 567-0300
NPI assigned
Dec 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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 012489 CT Primary

Addresses

Primary practice location

25 South St
Litchfield, CT 06759-4005

Mailing address

PO Box 1549
Litchfield, CT 06759-1549
Phone (860) 567-4437

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.greenwoodsreferrals.org

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
I20230130000544 CT Practitioner - Clinical Social Worker 0345611364 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwoods Counseling Referrals, Inc. Clinical CurrentSince Jan 1, 2023 Accepting new patients
Northwest Counseling Services PC Clinical PastSince Dec 6, 2022 Accepting new patients

Locations

25 South St
Litchfield, CT 06759
Phone (860) 393-2520

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greenwoods Counseling Referrals Inc 10 clinicians

Practice addresses (Care Compare)

25 S St
Litchfield, CT 06759-4005
Phone (860) 567-4437

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1497465462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067591549",
            "telephone_number": "860-567-4437",
            "fax_number": "860-567-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SOUTH ST",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067594005",
            "telephone_number": "860-567-4437",
            "fax_number": "860-567-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "JOY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "012489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.greenwoodsreferrals.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "25 South St",
            "city": "Litchfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067594005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Litchfield, CT

Sources for this page

Verify at the official NPI Registry.