Emily Jane Ambeau, LCSW
Individual provider Active NPI Clinical Social Worker · Pawcatuck, CT
NPI 1619822129 · NPPES record last updated Mar 2, 2026
Key facts
- NPI
- 1619822129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 015839 (CT)
- Practice address
- 75 Pawcatuck Ave
Pawcatuck, CT 06379-2420 - Phone
- (860) 941-0713
- NPI assigned
- Mar 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015839 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 015839 | CT | Yes |
Addresses
Primary practice location
75 Pawcatuck Ave
Pawcatuck, CT 06379-2420
Mailing address
75 Pawcatuck Ave
Pawcatuck, CT 06379-2420
Phone (860) 941-0713
Other providers in Pawcatuck, CT
- Advanced Chiropractic Wellness Center, LLC
- Mary Sue Agostini
- Anthony Frank Alessio
- Susan Alfiero-Bavasso
- Carlo Antonino
- Brenda Louise Applegate
- Jennifer Roch Avedisian
- Karyn Bessette
- Sarah E Bicknell
All providers in Pawcatuck, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.