Individual provider Active NPI

Kelly A. Voccola, LCSW

  • Clinical Social Worker
  • Cheshire, CT
National Provider Identifier
1568616936
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006507 Issued in CT
Practice address
350 S Main St
Suite 23
Cheshire, CT 06410-3160
Phone
(203) 271-1234
Fax
(203) 272-9094
NPI assigned
Nov 11, 2008
Last updated
Oct 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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 006507 CT Primary

Addresses

Primary practice location

350 S Main St
Suite 23
Cheshire, CT 06410-3160

Mailing address

350 S Main St
Suite 23
Cheshire, CT 06410-3160
Phone (203) 271-1234

Other names 1

  • Kelly A. Dana Former name

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
I20110809000195 CT Practitioner - Clinical Social Worker 9830368836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6507CTMDSocial Worker
006507CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jul 4, 2011 Accepting new patients
Yale University CurrentSince Jul 4, 2011 Accepting new patients
Adolescent & Family Counseling Center, LLC Clinical Past Accepting new patients

Locations

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

40 Temple St
Ste 7A
New Haven, CT 06510
Phone (203) 789-2011

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1568616936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S MAIN ST",
            "address_2": "SUITE 23",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103160",
            "telephone_number": "203-271-1234",
            "fax_number": "203-272-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S MAIN ST",
            "address_2": "SUITE 23",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103160",
            "telephone_number": "203-271-1234",
            "fax_number": "203-272-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOCCOLA",
        "first_name": "KELLY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DANA",
            "middle_name": "A.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.