Organization Active NPI

Emilie Steinnagel

  • Community/Behavioral Health Agency
  • Branford, CT
National Provider Identifier
1508594516
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMILIE STEINNAGEL
Practice address
500 E Main St Ste 322
Branford, CT 06405-2929
Phone
(475) 252-8848
NPI assigned
Aug 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Emilie Steinnagel, LCSWNPI 1205144078
Title
LCSW
Phone
(475) 252-8848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

500 E Main St Ste 322
Branford, CT 06405-2929

Mailing address

500 E Main St Ste 322
Branford, CT 06405-2929
Phone (475) 252-8848

Other practice location 1

31 Gull Ln
Guilford, CT 06437-3461
Phone (860) 389-7211

Other identifiers 2

IdentifierTypeStateIssuer
009062OtherCTSTATE OF CT DEPARTMENT OF PUBLIC HEALTH
1205144078OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emilie@emiliesteinnagellcsw.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230103000716 CT Part B Supplier - Clinic/Group Practice 0345610648 Receives reassigned benefits from 1 practitioner
Practice locations: Branford, CT

National Provider Directory

National Provider Directory

Locations

500 E Main St
Ste 322
Branford, CT 06405
Phone (203) 605-0341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1508594516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST STE 322",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052929",
            "telephone_number": "475-252-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST STE 322",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052929",
            "telephone_number": "475-252-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Gull Ln",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064373461",
            "country_code": "US",
            "telephone_number": "860-389-7211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMILIE STEINNAGEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "STEINNAGEL",
        "authorized_official_first_name": "EMILIE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "475-252-8848",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "009062",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205144078",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emilie@emiliesteinnagellcsw.com",
            "affiliation": "N",
            "address_1": "500 E Main St Ste 322",
            "city": "Branford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064052929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.