Steven Ambrico, LCSW
Individual provider Active NPI Clinical Social Worker · Groton, CT
NPI 1548634876 · NPPES record last updated Jan 22, 2025
Key facts
- NPI
- 1548634876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 010156 (CT)
- Practice address
- 1 Wahoo Dr
Sarp
Groton, CT 06349 - Phone
- (860) 694-4021
- NPI assigned
- Nov 24, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82741 | CA | MD | Clinical Social Worker |
| 010156 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 82741 | CA | |
| Clinical Social Worker | 1041C0700X | 010156 | CT | Yes |
Addresses
Primary practice location
1 Wahoo Dr
Sarp
Groton, CT 06349
Mailing address
1 Wahoo Dr
Sarp
Groton, CT 06349
Phone (860) 694-4021
Other providers in Groton, CT
- Mahmoud Ahamd Zaki Alsabbagh
- Jillian Altrogge
- Marcelino Alvarez
- Ermelinda Elaine Alviso
- Emily Louise Amaral
- Anchor Behavioral Health LLC
- Christopher J Anderson
- Krissa Ann Anderson
- Sara Andreozzi
- C Wallace Andrias
All providers in Groton, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.