Individual provider Active NPI

Samuel James Joseph Parton

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1710683859
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112759 Issued in NY
Practice address
1 Chestnut St Apt 503
Norwalk, CT 06854-5909
Phone
(203) 913-7972
NPI assigned
Jan 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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 112759 NY Primary

Addresses

Primary practice location

1 Chestnut St Apt 503
Norwalk, CT 06854-5909

Mailing address

1 Chestnut St Apt 503
Norwalk, CT 06854-5909
Phone (203) 913-7972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 2, 2025 through Apr 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
112759NYMDClinical Social Worker
14875CTMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1710683859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHESTNUT ST APT 503",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068545909",
            "telephone_number": "203-913-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHESTNUT ST APT 503",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068545909",
            "telephone_number": "203-913-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTON",
        "first_name": "SAMUEL",
        "middle_name": "JAMES JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "112759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.