Individual provider Active NPI

Elena Ampeire, LCSW

  • Clinical Social Worker
  • Storrs, CT
National Provider Identifier
1578819611
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007117 Issued in CT
Practice address
1066 Storrs Rd
Storrs, CT 06268-2648
Phone
(860) 429-2928
NPI assigned
Jul 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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 007117 CT Primary

Addresses

Primary practice location

1066 Storrs Rd
Storrs, CT 06268-2648

Mailing address

PO Box 402
Mansfield Ctr, CT 06250-0402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1066 Storrs Rd
Suite E
Storrs, CT 06268-2648
Phone (860) 259-4907

534 Chaffeeville Rd
Storrs Mansfield, CT 06268-2311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007117CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel F. Cuyler Clinical Past Accepting new patients

Organizations & group practices 1

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": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1578819611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "MANSFIELD CTR",
            "state": "CT",
            "postal_code": "062500402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 STORRS RD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682648",
            "telephone_number": "860-429-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMPEIRE",
        "first_name": "ELENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storrs, CT

Sources for this page

Verify at the official NPI Registry.