Active NPI
Janice Patricia Katilius, LCSW
- Clinical Social Worker
- Norwich, CT
National Provider Identifier
1508529652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 002730
- Practice address
- 401 W Thames St BLDG 301
Norwich, CT 06360-7155 - Phone
- (860) 859-4557
- Fax
- (860) 859-4787
- NPI assigned
- Oct 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 002730 | CT | Primary |
Addresses
Primary practice location
401 W Thames St BLDG 301
Norwich, CT 06360-7155
Mailing address
401 W Thames St
Norwich, CT 06360-7151
Phone (860) 859-4551
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211208000154 | CT | Practitioner - Clinical Social Worker | 3971993817 |
Reassigns benefits to 1 organization Practice locations: Old Saybrook, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Univ of British Columbia Faculty of Dentistry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Step Up Care PC LLC
Practice addresses (Care Compare)
111 Westcott Rd
Danielson, CT 06239-2929
Phone (718) 298-4375
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.14 of 100
- Quality
- 71.85
- Improvement activities
- 40
- Cost
- 75.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up Care PC LLC | Current | Accepting new patients | |
| Saybrook Center LLC | Past | Accepting new patients |
Locations
111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
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.
-
- Mental Health Counselor
- Old Saybrook, CT
- NPI 1730336439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1508529652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W THAMES ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063607151",
"telephone_number": "860-859-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W THAMES ST BLDG 301",
"city": "NORWICH",
"state": "CT",
"postal_code": "063607155",
"telephone_number": "860-859-4557",
"fax_number": "860-859-4787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATILIUS",
"first_name": "JANICE",
"middle_name": "PATRICIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-15",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "002730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.