Active NPI
Andrews Agyekum
- Social Worker
- Manchester, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 444 Center St
Manchester, CT 06040-3926 - Phone
- (860) 646-3888
- Fax
- (860) 731-5536
- NPI assigned
- Oct 4, 2011
- Last updated
- Jun 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
444 Center St
Manchester, CT 06040-3926
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Phone (860) 731-5522
Other practice location 1
153 Hazard Ave
Enfield, CT 06082-4592
Phone (860) 253-5020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up Care PC LLC | Clinical | Current | Accepting new patients |
| State of Connecticut | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients |
Locations
450 Columbus Blvd
Ste 1001
Hartford, CT 06103
500 Vine St
Hartford, CT 06112
Phone (860) 293-6400
1 Burr Rd
Westport, CT 06880
Phone (203) 226-4201
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
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.
-
dba Capitol Region Mental Health Center
- Psychiatric Hospital
- Hartford, CT
- NPI 1487689022
-
dba Department of Veterans' Affairs, Veterans Home
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1578847976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WATERSIDE XING STE 401",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060951588",
"telephone_number": "860-731-5522",
"fax_number": "860-731-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 CENTER ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403926",
"telephone_number": "860-646-3888",
"fax_number": "860-731-5536"
}
],
"practiceLocations": [
{
"address_1": "153 Hazard Ave",
"address_purpose": "LOCATION",
"city": "Enfield",
"state": "CT",
"postal_code": "060824592",
"country_code": "US",
"telephone_number": "860-253-5020",
"fax_number": "860-253-5030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGYEKUM",
"first_name": "ANDREWS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-04",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.