Ellen Rountree Calkins, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000771 Issued in CT

Practice address

758 Broad Street Ext
Waterford, CT 06385-1345

Phone

(860) 442-6218

Fax

(860) 447-2477

NPI assigned

Feb 13, 2007

Sex

Female

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

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

Specialty

Clinical Social Worker

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1700928280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 BROAD STREET EXT",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851345",
            "telephone_number": "860-442-6218",
            "fax_number": "860-447-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 BROAD STREET EXT",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851345",
            "telephone_number": "860-442-6218",
            "fax_number": "860-447-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALKINS",
        "first_name": "ELLEN",
        "middle_name": "ROUNTREE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004179215",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Alan Brill, M.D.
• Cynthia Ann Brown, LPC
• Jocelyn Mazyck Brown, BCBA
• Warren Booth Burrows II, M.D.
• Jacqueline Byrne, PT, DPT
• Camera Counseling, LLC
• Neil Canavan, LCSW
• Sarah Canavan, MD
• Careco Holdings LLC
• Careco Medical, Inc.

• Clinical Social Worker in Waterford, CT
• Providers in Waterford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.