Individual provider Active NPI

Joseph Edwin Opromollo, LCSW

  • Clinical Social Worker
  • Watertown, CT
National Provider Identifier
1730073248
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12974 Issued in CT
Practice address
35 Scott Ave
Watertown, CT 06795-2518
Phone
(201) 602-9318
NPI assigned
Jun 7, 2025
Last updated
Jun 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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 12974 CT Primary

Addresses

Primary practice location

35 Scott Ave
Watertown, CT 06795-2518

Mailing address

35 Scott Ave
Watertown, CT 06795-2518
Phone (201) 602-9318

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
I20250730000106 CT Practitioner - Clinical Social Worker 8921515370 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12974CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Family Services PC CurrentSince Jun 21, 2025 Accepting new patients

Locations

55 Walls Dr
Ste 206
Fairfield, CT 06824
Phone (203) 635-5776

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1730073248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SCOTT AVE",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952518",
            "telephone_number": "201-602-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SCOTT AVE",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952518",
            "telephone_number": "201-602-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPROMOLLO",
        "first_name": "JOSEPH",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-07",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

Verify at the official NPI Registry.