Individual provider Active NPI

Dina Alexis Skempris, LCSW

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1508563313
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14251 Issued in CT
Practice address
3013 Dixwell Ave Ste 1
Hamden, CT 06518-3527
Phone
(203) 399-6017
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 14251 CT Primary

Addresses

Primary practice location

3013 Dixwell Ave Ste 1
Hamden, CT 06518-3527

Mailing address

35B Garden LN
Harwinton, CT 06791-1321
Phone (860) 733-9636

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
I20240808003561 CT Practitioner - Clinical Social Worker 9931646866 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Health Psych PCGroup PAC ID 6204248149, 20 clinicians

Practice addresses (Care Compare)

240 Indian River Rd
Suite C7
Orange, CT 06477-3691
Phone (203) 497-3867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14251CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Health Psych PC CurrentSince Apr 1, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 29, 2024 Accepting new patients
Behavioral Health & Wellness, LLC Clinical CurrentSince Jul 22, 2024 Accepting new patients

Locations

3013 Dixwell Ave
Ste 1
Hamden, CT 06518
Phone (203) 399-6017

3190 Whitney Ave
Unit 6
Hamden, CT 06518
Phone (203) 399-6071

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

14 Westport Ave
Norwalk, CT 06851
Phone (203) 497-3867

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1508563313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35B GARDEN LN",
            "city": "HARWINTON",
            "state": "CT",
            "postal_code": "067911321",
            "telephone_number": "860-733-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 DIXWELL AVE STE 1",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183527",
            "telephone_number": "203-399-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEMPRIS",
        "first_name": "DINA",
        "middle_name": "ALEXIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.