Individual provider Active NPI

Janice Patricia Katilius, LCSW

  • Clinical Social Worker
  • Norwich, CT
National Provider Identifier
1508529652
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002730 Issued in CT
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

Updated by the provider on Oct 15, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 5496088346, 176 clinicians

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 100Reported as group
Quality
71.85
Improvement activities
40
Cost
75.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Apr 15, 2024 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.

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

Verify at the official NPI Registry.