Individual provider Active NPI

Aaisma Regmi, LSW

  • Clinical Social Worker
  • Madison, CT
National Provider Identifier
1619580529
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12972 Issued in CT
Practice address
86 Bradley Rd
Madison, CT 06443-2644
Phone
(203) 245-0412
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12972 CT Primary
Mental Health Counselor 101YM0800X 1357-P NV

Addresses

Primary practice location

86 Bradley Rd
Madison, CT 06443-2644

Mailing address

31 Laurel St
Middletown, CT 06457-4616
Phone (347) 324-2123

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
I20230622003038 CT Practitioner - Clinical Social Worker 8729446778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeler Clinic IncGroup PAC ID 0345147153, 105 clinicians

Practice addresses (Care Compare)

40 Hart St
New Britain, CT 06052-1759
Phone (860) 793-3500

43 Woodland St
Hartford, CT 06105-2363
Phone (860) 793-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1357-PNVMDMental Health Counselor
12972CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeler Clinic Inc CurrentSince Jan 22, 2024 Accepting new patients
Wheeler Clinic Inc CurrentSince Jan 22, 2024 Accepting new patients
Legal Social Work Consultants LLC Clinical CurrentSince Dec 26, 2021 Accepting new patients
Waterstone Health LLC Clinical PastSince Nov 17, 2024 Accepting new patients
Eastern Connecticut Foot Specialists PC PastSince May 16, 2023 Accepting new patients

Locations

86 Bradley Rd
Madison, CT 06443
Phone (203) 245-0412

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73317
  • Direct secure messaging: aaisma.regmi.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 5

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1619580529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LAUREL ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574616",
            "telephone_number": "347-324-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BRADLEY RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432644",
            "telephone_number": "203-245-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGMI",
        "first_name": "AAISMA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12972",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "1357-P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.