Individual provider Active NPI

Edward Mark Schwartz

  • Clinical Social Worker
  • Trumbull, CT
National Provider Identifier
1700537107
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009416 Issued in CT
Practice address
132 Sturbridge LN
Trumbull, CT 06611-1047
Phone
(203) 581-1889
NPI assigned
Jan 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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 009416 CT Primary

Addresses

Primary practice location

132 Sturbridge LN
Trumbull, CT 06611-1047

Mailing address

132 Sturbridge LN
Trumbull, CT 06611-1047
Phone (203) 581-1889

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
I20230104001822 CT Practitioner - Clinical Social Worker 3870963051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

132 Sturbridge LN
Trumbull, CT 06611-1047
Phone (203) 581-1889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9416CTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward M. Schwartz Psychotherapy, LLC Clinical CurrentSince Oct 4, 2022 Accepting new patients

Locations

238 Monroe Tpke
Monroe, CT 06468
Phone (203) 581-1889

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1700537107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 STURBRIDGE LN",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111047",
            "telephone_number": "203-581-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 STURBRIDGE LN",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111047",
            "telephone_number": "203-581-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "EDWARD",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.