Active NPI
Yanira Wolfgang-Pinto, LCSW
- Clinical Social Worker
- Manchester, CT
National Provider Identifier
1619328713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 009480
- Practice address
- 983 Main St Ste 12
Manchester, CT 06040-6018 - Phone
- (860) 817-5607
- Fax
- (860) 216-1172
- NPI assigned
- Jun 29, 2016
- Sex
- Female
- 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 | 009480 | CT | Primary |
Addresses
Primary practice location
983 Main St Ste 12
Manchester, CT 06040-6018
Mailing address
983 Main St Ste 12
Manchester, CT 06040-6018
Phone (860) 817-5607
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 |
|---|---|---|---|---|
| I20161121001878 | CT | Practitioner - Clinical Social Worker | 6507145281 | Practice locations: Manchester, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
112 Spencer St
Suite 3C
Manchester, CT 06040-4601
Phone (860) 817-5607
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009480 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1619328713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "983 MAIN ST STE 12",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060406018",
"telephone_number": "860-817-5607",
"fax_number": "860-216-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983 MAIN ST STE 12",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060406018",
"telephone_number": "860-817-5607",
"fax_number": "860-216-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFGANG-PINTO",
"first_name": "YANIRA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-29",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "009480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.