Individual provider Active NPI

Bernadette T McSweeney, LCSW

  • Clinical Social Worker
  • Newtown, CT
National Provider Identifier
1710186283
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00410 Issued in CT
Practice address
4 East St
Newtown, CT 06470-1340
Phone
(203) 270-0894
Fax
(203) 270-0894
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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 034939 NY
Clinical Social Worker 1041C0700X 00410 CT Primary

Addresses

Primary practice location

4 East St
Newtown, CT 06470-1340

Mailing address

4 East St
Newtown, CT 06470-1340
Phone (203) 270-0894

Other identifiers 4

IdentifierTypeStateIssuer
P961719OtherCTOXFORD HEALTH PLANS
P961719OtherNYOXFORD HEALTH PLASNS
278589OtherCTMANAGED HEALTH NETWORK
278589OtherNYMANAGED HEALTH NETWORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070913000554 CT Practitioner - Clinical Social Worker 0648364299 Practice locations: Ridgefield, CT; Newtown, CT
I20100810000835 NY Practitioner - Clinical Social Worker 0648364299 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 E St
Newtown, CT 06470-1340
Phone (203) 512-9518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00410CTMDClinical Social Worker
034939NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1710186283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EAST ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701340",
            "telephone_number": "203-270-0894",
            "fax_number": "203-270-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EAST ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701340",
            "telephone_number": "203-270-0894",
            "fax_number": "203-270-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSWEENEY",
        "first_name": "BERNADETTE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "034939",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "00410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P961719",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLASNS",
            "identifier": "P961719",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "278589",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "278589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

Verify at the official NPI Registry.