Tyrone Jerome McConnico, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

009688 Issued in CT

Practice address

196 Magnolia St
Hartford, CT 06112-2407

Phone

(860) 985-2627

NPI assigned

Feb 24, 2017

Last updated

Feb 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Spectrum Psychiatric Group PC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Hamden, CT
  • NPI 1518142058
  NPD (past)
• The Connection Inc.

  • Adult Mental Health Clinic/Center
  • New Haven, CT
  • NPI 1992823538
  NPD (past)

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1700326782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4393",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061474393",
            "telephone_number": "860-985-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 MAGNOLIA ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061122407",
            "telephone_number": "860-985-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNICO",
        "first_name": "TYRONE",
        "middle_name": "JEROME",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-24",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "009688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "009688",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn McCausland
• Rachel H McClain, LCSW
• Marissa C McClement, PA-C
• Mitchell H McClure, M.D.
• Leah J McCollum, LCSW
• Kerryann McCooty-Lawrence, APRN
• Adriana McCormick, PSY.D.
• Danielle McCormick
• Michael McCormick, LCSW
• Kimberly Anne McCoy, PA-C

• Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.