Emilie Pryde, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

011102 Issued in CT

Practice address

9 Mott Ave Ste 410
Norwalk, CT 06850-3357

Phone

(203) 523-5782

NPI assigned

Sep 16, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stokes Counseling Services LLC

  • Professional Counselor
  • Naugatuck, CT
  • NPI 1134541469

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1659987592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE STE 410",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503357",
            "telephone_number": "203-523-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE STE 410",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503357",
            "telephone_number": "203-523-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYDE",
        "first_name": "EMILIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebensimon@fcagency.org",
            "affiliation": "N",
            "endpointDescription": "ebensimon@fcagency.org",
            "address_1": "9 Mott Ave Ste 410",
            "city": "Norwalk",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068503357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Professional Dental Alliance of Norwalk, PLLC
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy, P.C.
• Professional Therapy Contracting Services of CT, LLC
• Nicole M Protomastro, APRN
• PT Plus, LLC
• Kathleen A Pundy, APRN
• Brittany Purciello, LCSW
• Purple Physical Therapy & Wellness LLC
• Robert William Purslow, MSPT

• Clinical Social Worker in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.