Active NPI
Brian Robert Ahern, M.S.W., L.C.S.W.
- Clinical Social Worker
- Storrs Mansfield, CT
National Provider Identifier
1598778243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 000659
- Practice address
- 667 Chaffeeville Rd
Storrs Mansfield, CT 06268-2337 - Phone
- (860) 429-7945
- NPI assigned
- Aug 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000659 | CT | Primary |
Addresses
Primary practice location
667 Chaffeeville Rd
Storrs Mansfield, CT 06268-2337
Mailing address
667 Chaffeeville Rd
Storrs Mansfield, CT 06268-2337
Phone (860) 429-7945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 9, 2025 through Feb 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 659 | CT | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598778243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 CHAFFEEVILLE RD",
"city": "STORRS MANSFIELD",
"state": "CT",
"postal_code": "062682337",
"telephone_number": "860-429-7945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "667 CHAFFEEVILLE RD",
"city": "STORRS MANSFIELD",
"state": "CT",
"postal_code": "062682337",
"telephone_number": "860-429-7945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHERN",
"first_name": "BRIAN",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "M.S.W., L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "000659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Storrs Mansfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.