Individual provider Active NPI

Rayon Lennon, LCSW

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1619433422
Registry record updated Feb 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
010501 Issued in CT
Practice address
1400 Whitney Ave
Hamden, CT 06517-2499
Phone
(203) 248-2116
NPI assigned
Feb 17, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2019

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 010501 CT Primary

Addresses

Primary practice location

1400 Whitney Ave
Hamden, CT 06517-2499

Mailing address

358 Edgewood Ave Apt 2
New Haven, CT 06511-4082
Phone (203) 507-3610

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
I20240118001646 CT Practitioner - Clinical Social Worker 4688026388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stokes Counseling Services LLCGroup PAC ID 9638504202, 43 clinicians

Practice addresses (Care Compare)

16 Hillside Ave
Naugatuck, CT 06770-4019
Phone (203) 729-0341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010501CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Oct 15, 2024 Accepting new patients
Stokes Counseling Services LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients
The Children'S Center of Hamden, Inc. Past Accepting new patients
The Children'S Center of Hamden, Inc. Past Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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": "1550361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550361600000",
    "number": "1619433422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 EDGEWOOD AVE APT 2",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114082",
            "telephone_number": "203-507-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172499",
            "telephone_number": "203-248-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNON",
        "first_name": "RAYON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-17",
        "last_updated": "2019-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.