Individual provider Active NPI

Bridget McCue-Connolly, LCSW

  • Clinical Social Worker
  • Torrington, CT
National Provider Identifier
1588743462
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005093 Issued in CT
Practice address
540 Litchfield St
C/O Irene Benza
Torrington, CT 06790-6679
Phone
(860) 496-6361
Fax
(860) 496-6389
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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 005093 CT Primary

Addresses

Primary practice location

540 Litchfield St
C/O Irene Benza
Torrington, CT 06790-6679

Mailing address

540 Litchfield St
C/O Irene Benza
Torrington, CT 06790-6679
Phone (860) 496-6361

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
I20041130000717 CT Practitioner - Clinical Social Worker 9032174156 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005093CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Waterbury, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Prospect CT Medical Foundation, Inc. Clinical CurrentSince Jan 11, 2017 Accepting new patients
State of Connecticut CurrentSince Mar 1, 2016 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

165 Capitol Ave
Ste 2000
Hartford, CT 06106

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

34 Park St
North Haven, CT 06519
Phone (203) 974-7417

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

Organizations & group practices 4

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1588743462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "address_2": "C/O IRENE BENZA",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6361",
            "fax_number": "860-496-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "address_2": "C/O IRENE BENZA",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6361",
            "fax_number": "860-496-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUE-CONNOLLY",
        "first_name": "BRIDGET",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.