Individual provider Active NPI

Ursula Lin-Oi Chock-Harris, LCSW

  • Social Worker
  • Simsbury, CT
National Provider Identifier
1609014331
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
004791 Issued in CT
Practice address
14E Wiggins Farm Dr
Simsbury, CT 06070-3132
Phone
(203) 640-9741
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 004791 CT Primary

Addresses

Primary practice location

14E Wiggins Farm Dr
Simsbury, CT 06070-3132

Mailing address

14E Wiggins Farm Dr
Simsbury, CT 06070-3132
Phone (203) 640-9741

Other names 1

  • Ms. Ursula Lin-Oi Chock 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
I20160330001053 CT Practitioner - Clinical Social Worker 9436456811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bristol Hospital Multi Specialty Group, Inc.Group PAC ID 9032014758, 148 clinicians

Practice addresses (Care Compare)

102 N St
Bristol, CT 06010-4190
Phone (860) 314-2082

Merit-based Incentive Payment System (MIPS)

Final score
54.86 of 100Reported as group
Quality
11.77
Promoting interoperability
98
Improvement activities
0
Cost
73.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004791CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Multi Specialty Group, Inc CurrentSince Mar 1, 2016 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

102 North St
Bristol, CT 06010
Phone (860) 314-2082

167 Main St
Southington, CT 06489
Phone (860) 426-0252

Interoperability endpoints

  • Direct secure messaging: ursula.chockharris@bhmg.eclinicaldirectplus.com

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1609014331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14E WIGGINS FARM DR",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060703132",
            "telephone_number": "203-640-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14E WIGGINS FARM DR",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060703132",
            "telephone_number": "203-640-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOCK-HARRIS",
        "first_name": "URSULA",
        "middle_name": "LIN-OI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "004791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "URSULA",
            "last_name": "CHOCK",
            "middle_name": "LIN-OI",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Simsbury, CT

Sources for this page

Verify at the official NPI Registry.