Individual provider Active NPI

Elizabeth L Taylor Huey, LCSW

  • Social Worker
  • Bristol, CT
National Provider Identifier
1609851633
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
004342 Issued in CT
Practice address
440 N Main St
D
Bristol, CT 06010-4990
Phone
(860) 314-2052
Fax
(860) 314-2054
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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 004342 CT Primary

Addresses

Primary practice location

440 N Main St
D
Bristol, CT 06010-4990

Mailing address

501 S Washington Ave Ste 1000
Scranton, PA 18505-3814
Phone (570) 591-5159

Other identifiers 1

IdentifierTypeStateIssuer
004195732MedicaidCT

Other names 1

  • Elizabeth L Sumner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address etaylor-huey@thewrightcenter.medentdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004342CTMDProfessional Counselor
627NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Multi-Specialty Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: etaylor-huey@thewrightcenter.medentdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1609851633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WASHINGTON AVE STE 1000",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053814",
            "telephone_number": "570-591-5159",
            "fax_number": "570-343-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N MAIN ST",
            "address_2": "D",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104990",
            "telephone_number": "860-314-2052",
            "fax_number": "860-314-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR HUEY",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "004342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004195732",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "etaylor-huey@thewrightcenter.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "HISP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1145 Northern Blvd",
            "city": "South Abington Township",
            "state": "PA",
            "country_code": "US",
            "postal_code": "184112221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SUMNER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.