Individual provider Active NPI

Angela Margaret Kaufman, LCSW

  • Clinical Social Worker
  • Stamford, CT
National Provider Identifier
1700914538
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002597 Issued in CT
Practice address
1011 High Ridge Rd Ste 100
Stamford, CT 06905-1604
Phone
(203) 363-0793
Fax
(203) 363-0794
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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 002597 CT Primary

Addresses

Primary practice location

1011 High Ridge Rd Ste 100
Stamford, CT 06905-1604

Mailing address

970 Summer St
Stamford, CT 06905-5542
Phone (203) 363-0793

Other identifiers 9

IdentifierTypeStateIssuer
140002597CT01OtherCTANTHEM BCBS PROVIDER ID
ZS608OtherCTOXFORD PROVIDER ID
061390301-01OtherCTPACIFICARE PROVIDER ID
5335019OtherCTAETNA PROVIDER ID
17014000OtherCTMAGELLAN PROVIDER ID
6227501OtherCTUNITED PROVIDER ID
158568OtherCTMHN PROVIDER ID
7478642OtherCTEMPIRE PLAN GHI PROV. ID
2913061OtherCTCIGNA PROVIDER ID

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
I20040625000825 CT Practitioner - Clinical Social Worker 2163408691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

73 Nod Rd
Ridgefield, CT 06877-5810
Phone (203) 363-0793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002597CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Psychiatric and Geriatric Psychiatry Associates Past Accepting new patients

Organizations & group practices 2

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1700914538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055542",
            "telephone_number": "203-363-0793",
            "fax_number": "203-363-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HIGH RIDGE RD STE 100",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051604",
            "telephone_number": "203-363-0793",
            "fax_number": "203-363-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "ANGELA",
        "middle_name": "MARGARET",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER ID",
            "identifier": "140002597CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID",
            "identifier": "ZS608",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE PROVIDER ID",
            "identifier": "061390301-01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "5335019",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER ID",
            "identifier": "17014000",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED PROVIDER ID",
            "identifier": "6227501",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN PROVIDER ID",
            "identifier": "158568",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE PLAN GHI PROV. ID",
            "identifier": "7478642",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID",
            "identifier": "2913061",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.