Active NPI
Dina Alexis Skempris, LCSW
- Clinical Social Worker
- Hamden, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14251
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14251 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Health Psych PC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Behavioral Health & Wellness, LLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.