Active NPI
Shari H Hull, LCSW
- Clinical Social Worker
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007957
- Practice address
- 141 East Main Street,
Wellmore, Inc.
Waterbury, CT 06702-1701 - Phone
- (203) 574-9000
- Fax
- (203) 574-9006
- NPI assigned
- Jul 24, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 007957 | CT | Primary |
Addresses
Primary practice location
141 East Main Street,
Wellmore, Inc.
Waterbury, CT 06702-1701
Mailing address
141 East Main Street,
Wellmore, Inc.
Waterbury, CT 06702-1701
Phone (203) 574-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007957 | Other | CT | STATE OF CONNECTICUT LCSW LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Hartford, CT 06103
Phone (323) 205-7088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007957 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lswhb LLC | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Prohealth Physicians PC | Past | Accepting new patients |
Locations
290 Western Blvd
Glastonbury, CT 06033
Phone (860) 652-3325
320 Western Blvd
Ste 104
Glastonbury, CT 06033
Phone (860) 633-2487
100 Pearl St
Hartford, CT 06103
Phone (860) 969-1463
141 Willard Ave
Newington, CT 06111
Phone (860) 666-5601
104 S 1st St
Terre Haute, IN 47807
Phone (513) 443-1700
Interoperability endpoints
- ethoscareinc.sharihull@151221.advancedmd-direct.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1649525957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 EAST MAIN STREET,",
"address_2": "WELLMORE, INC.",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067021701",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 EAST MAIN STREET,",
"address_2": "WELLMORE, INC.",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067021701",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "SHARI",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "007957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CONNECTICUT LCSW LICENSE",
"identifier": "007957",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.