Individual provider Active NPI

Margaret Kirkpatrick, LCSW

  • Social Worker
  • Middletown, CT
National Provider Identifier
1659306033
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
002395 Issued in CT
Practice address
267 William St
Middletown, CT 06457-3295
Phone
(860) 266-3816
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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 002395 CT
Social Worker 104100000X 002395 CT Primary

Addresses

Primary practice location

267 William St
Middletown, CT 06457-3295

Mailing address

267 William St
Middletown, CT 06457-3295
Phone (860) 266-3816

Other identifiers 2

IdentifierTypeStateIssuer
008056410MedicaidCT
2022013OtherCIGNA

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
I20040224000993 CT Practitioner - Clinical Social Worker 8224924543 Reassigns benefits to 1 organization
Practice locations: Middletown, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

769 Newfield St
Suite 6
Middletown, CT 06457-1846
Phone (860) 266-3816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2395CTMDCounselor
002395CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. CurrentSince Oct 17, 2005 Accepting new patients
Intercommunity, Inc. Current Accepting new patients
Rushford Center, Inc. Clinical Past Accepting new patients

Locations

281 Main St
East Hartford, CT 06118
Phone (860) 291-1335

800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1659306033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 WILLIAM ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573295",
            "telephone_number": "860-266-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 WILLIAM ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573295",
            "telephone_number": "860-266-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "MARGARET",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002395",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "002395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008056410",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2022013",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.