Individual provider Active NPI

Heather Catherine Pizzanello, LCSW

  • Clinical Social Worker
  • Plainville, CT
National Provider Identifier
1508941527
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006163 Issued in CT
Practice address
91 Northwest Drive
Wheeler Clinic
Plainville, CT 06062-1534
Phone
(860) 793-3500
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 006163 CT Primary

Addresses

Primary practice location

91 Northwest Drive
Wheeler Clinic
Plainville, CT 06062-1534

Mailing address

69-2 Ridge Rd
Naugatuck, CT 06770
Phone (203) 729-6502

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
I20080109000823 CT Practitioner - Clinical Social Worker 3173603669 Reassigns benefits to 1 organization
Practice locations: Guilford, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connecticut Psychiatric and Wellness CenterGroup PAC ID 8820315534, 5 clinicians

Practice addresses (Care Compare)

1 Bradley Rd
Suite 404
Woodbridge, CT 06525-2235
Phone (203) 298-9005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006163CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Psychiatric & Wellness Center CurrentSince Jul 2, 2018 Accepting new patients
Connecticut Psychiatric & Wellness Center PastSince Jul 2, 2018 Accepting new patients

Locations

2446 Whitney Ave
#2
Hamden, CT 06518
Phone (203) 298-9005

1 Bradley Rd
Ste 404
Woodbridge, CT 06525
Phone (203) 298-9005

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508941527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69-2 RIDGE RD",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "06770",
            "telephone_number": "203-729-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 NORTHWEST DRIVE",
            "address_2": "WHEELER CLINIC",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621534",
            "telephone_number": "860-793-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZANELLO",
        "first_name": "HEATHER",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.