Individual provider Active NPI

Sharlene Keisha Duplessis, LCSW

  • Clinical Social Worker
  • New Britain, CT
National Provider Identifier
1689942534
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10424 Issued in CT
Practice address
270 John Downey Dr
New Britain, CT 06051-2906
Phone
(860) 223-2778
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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 10424 CT Primary
Counselor 101Y00000X

Addresses

Primary practice location

270 John Downey Dr
New Britain, CT 06051-2906

Mailing address

270 John Downey Dr
New Britain, CT 06051-2906
Phone (860) 223-2778

Other practice location 1

331 Wethersfield Ave
Hartford, CT 06114-1420
Phone (860) 236-4511 ext. 3210

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
I20181204003155 CT Practitioner - Clinical Social Worker 8325382260 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
Community Mental Health Affiliates IncGroup PAC ID 3375431968, 29 clinicians

Practice addresses (Care Compare)

233 Main St
New Britain, CT 06051-4204
Phone (860) 224-8192

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
74
Improvement activities
40
Cost
75.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10424CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Affiliates Inc CurrentSince Nov 7, 2018 Accepting new patients

Locations

270 John Downey Dr
New Britain, CT 06051
Phone (860) 229-4830

233 Main St
New Britain, CT 06051
Phone (860) 224-8192

Organizations & group practices 1

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1689942534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 JOHN DOWNEY DR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512906",
            "telephone_number": "860-223-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 JOHN DOWNEY DR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512906",
            "telephone_number": "860-223-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Wethersfield Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061141420",
            "country_code": "US",
            "telephone_number": "860-236-4511 x3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPLESSIS",
        "first_name": "SHARLENE",
        "middle_name": "KEISHA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10424",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.