Individual provider Active NPI

Paul Burton Alpert, MSW, LCSW

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1639182579
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003391 Issued in CT
Practice address
2553 Whitney Avenue
Hamden, CT 06518-3021
Phone
(203) 494-9262
Fax
(203) 248-3339
NPI assigned
Aug 14, 2006
Last updated
Sep 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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 003391 CT Primary

Addresses

Primary practice location

2553 Whitney Avenue
Hamden, CT 06518-3021

Mailing address

2553 Whitney Avenue
Hamden, CT 06518-3021
Phone (203) 494-9262

Other identifiers 1

IdentifierTypeStateIssuer
004230314MedicaidCT

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
I20041123000074 CT Practitioner - Clinical Social Worker 9133184898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

375 Mather St
Hamden, CT 06514-3101
Phone (203) 494-9262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3391CTMDOptometrist
003391CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Town Hall Psychotherapy LLC Clinical CurrentSince May 24, 2007 Accepting new patients
Harvey L. Ruben,MD PC Past Accepting new patients
State of Connecticut Past Accepting new patients

Locations

375 Mather St
Hamden, CT 06514
Phone (203) 494-9262

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1639182579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 WHITNEY AVENUE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183021",
            "telephone_number": "203-494-9262",
            "fax_number": "203-248-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 WHITNEY AVENUE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183021",
            "telephone_number": "203-494-9262",
            "fax_number": "203-248-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALPERT",
        "first_name": "PAUL",
        "middle_name": "BURTON",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004230314",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.