Individual provider Active NPI

Shari H Hull, LCSW

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1649525957
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007957 Issued in CT
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

Updated by the provider on Jul 19, 2013

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 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

IdentifierTypeStateIssuer
007957OtherCTSTATE OF CONNECTICUT LCSW LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191107002662 CT Practitioner - Clinical Social Worker 7113359480 Reassigns benefits to 2 organizations
I20240627002510 IN Practitioner - Clinical Social Worker 7113359480 Reassigns benefits to 1 organization

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
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Hartford, CT 06103
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007957CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lswhb LLC CurrentSince Jan 1, 2022 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Prohealth Physicians PC PastSince Jan 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.