Individual provider Active NPI

Dean E Lederfeind

  • Social Worker
  • Ansonia, CT
National Provider Identifier
1679729966
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7154 Issued in CT
Practice address
121 Wakelee Ave
Ansonia, CT 06401-1198
Phone
(203) 503-3650
Fax
(203) 503-3659
NPI assigned
Aug 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7154 CT Primary

Addresses

Primary practice location

121 Wakelee Ave
Ansonia, CT 06401-1198

Mailing address

121 Wakelee Ave
Ansonia, CT 06401-1198
Phone (203) 503-3650

Other identifiers 1

IdentifierTypeStateIssuer
004235918MedicaidCT

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
I20091110000757 CT Practitioner - Clinical Social Worker 4981742095 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale New Haven HospitalGroup PAC ID 8325935018, 44 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-2464

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
98.16
Promoting interoperability
100
Improvement activities
40
Cost
44.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Mental Health Specialists Inc CurrentSince Dec 12, 2016 Accepting new patients
South-West Community Health Center, Inc CurrentSince Jun 26, 2018 Accepting new patients
Yale New Haven Hospital CurrentSince Jun 3, 2024 Accepting new patients

Locations

510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000

46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155

1046 Fairfield Ave
Bridgeport, CT 06605
Phone (203) 330-6054

968 Fairfield Ave
Bridgeport, CT 06605

270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Organizations & group practices 6

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1679729966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WAKELEE AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011198",
            "telephone_number": "203-503-3650",
            "fax_number": "203-503-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WAKELEE AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011198",
            "telephone_number": "203-503-3650",
            "fax_number": "203-503-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERFEIND",
        "first_name": "DEAN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "7154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235918",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

Verify at the official NPI Registry.