Individual provider Active NPI

Pearl Ingrid Sargeant-Warzecha, LCSW

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1619174497
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006473 Issued in CT
Practice address
805 Edgewood Ave
New Haven, CT 06515-2216
Phone
(203) 887-7649
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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 006473 CT Primary

Addresses

Primary practice location

805 Edgewood Ave
New Haven, CT 06515-2216

Mailing address

24 Notkins St
New Haven, CT 06514-4425
Phone (203) 314-5339

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
I20071009000500 CT Practitioner - Clinical Social Worker 6901991777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006473CTMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornell Scott Hill Health Corporation CurrentSince Dec 1, 2020 Accepting new patients
Integrated Wellness Group, LLC Clinical PastSince Dec 26, 2025 Accepting new patients

Locations

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

400 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3174

Organizations & group practices 2

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1619174497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NOTKINS ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065144425",
            "telephone_number": "203-314-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EDGEWOOD AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152216",
            "telephone_number": "203-887-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGEANT-WARZECHA",
        "first_name": "PEARL",
        "middle_name": "INGRID",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.