Active NPI
Ursula Lin-Oi Chock-Harris, LCSW
- Social Worker
- Simsbury, CT
National Provider Identifier
1609014331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 004791
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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 100
- Quality
- 11.77
- Promoting interoperability
- 98
- Improvement activities
- 0
- Cost
- 73.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004791 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Hospital Multi Specialty Group, Inc | Current | 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
- 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.
-
- General Practice Physician
- Bristol, CT
- NPI 1649265679
CT
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.