Individual provider Active NPI

Richard E Amaral, LCSW

  • Clinical Social Worker
  • East Hartford, CT
National Provider Identifier
1689636045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003634 Issued in CT
Practice address
281 Main Street
East Hartford, CT 06118
Phone
(960) 895-3015
Fax
(860) 569-5905
NPI assigned
Apr 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 003634 CT Primary

Addresses

Primary practice location

281 Main Street
East Hartford, CT 06118

Mailing address

281 Main Street
East Hartford, CT 06118
Phone (860) 895-3015

Other identifiers 1

IdentifierTypeStateIssuer
003634OtherCTLCSW LIC#

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
I20061019000011 CT Practitioner - Clinical Social Worker 9537165311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. CurrentSince Apr 1, 2010 Accepting new patients
Intercommunity, Inc. CurrentSince Apr 1, 2010 Accepting new patients
CT Psychological & Assessment Center LLC Clinical PastSince Apr 2, 2024 Accepting new patients

Locations

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

16 Coventry St
Hartford, CT 06112
Phone (860) 714-3701

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689636045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 MAIN STREET",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "06118",
            "telephone_number": "860-895-3015",
            "fax_number": "860-569-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 MAIN STREET",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "06118",
            "telephone_number": "960-895-3015",
            "fax_number": "860-569-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARAL",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LIC#",
            "identifier": "003634",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.