Active NPI
Jed Biondi, LCSW LADC
- Clinical Social Worker
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5330
- Practice address
- 675 Tower Ave
Suite 301
Hartford, CT 06112-1273 - Phone
- (860) 714-2750
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
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.
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
CT
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Health of New England Provider Network Organization Inc
Practice addresses (Care Compare)
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070920000414 | CT | Practitioner - Clinical Social Worker | 6204920325 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000655 | CT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients |
Locations
500 Blue Hills Ave
Hartford, CT 06112
Phone (860) 714-2681
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
675 Tower Ave
Ste 301
Hartford, CT 06112
Phone (860) 714-2338
1000 Asylum Ave
Ste 2109A
West Hartford, CT 06105
Phone (860) 714-5058
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 000655 | CT | |
| Clinical Social Worker | 1041C0700X | 5330 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
675 Tower Ave
Suite 301
Hartford, CT 06112-1273
Mailing address
675 Tower Ave
Suite 301
Hartford, CT 06112-1273
Phone (860) 714-2750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2017.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1508901497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 TOWER AVE",
"address_2": "SUITE 301",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061121273",
"telephone_number": "860-714-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 TOWER AVE",
"address_2": "SUITE 301",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061121273",
"telephone_number": "860-714-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIONDI",
"first_name": "JED",
"credential": "LCSW LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "000655",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "5330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.