Individual provider Active NPI

Sheila Anne Kistler, LCSW

  • Clinical Social Worker
  • Middletown, CT
National Provider Identifier
1730608019
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
015364 Issued in CT
Practice address
1250 Silver St
Middletown, CT 06457-3946
Phone
(860) 346-0300
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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 P015179 NC
Clinical Social Worker 1041C0700X 015364 CT Primary

Addresses

Primary practice location

1250 Silver St
Middletown, CT 06457-3946

Mailing address

1250 Silver St
Middletown, CT 06457-3946
Phone (860) 346-0300

Other practice location 1

325 Main St
Portland, CT 06480-1561
Phone (860) 342-3252

Other names 1

  • Sheila Anne Sylvestre Former name

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
I20250730001989 CT Practitioner - Clinical Social Worker 4880129311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P015179NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rushford Center, Inc. Clinical CurrentSince Jul 14, 2025 Accepting new patients

Locations

883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220

1250 Silver St
Middletown, CT 06457
Phone (860) 346-0300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1730608019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 SILVER ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573946",
            "telephone_number": "860-346-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SILVER ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573946",
            "telephone_number": "860-346-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Main St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "CT",
            "postal_code": "064801561",
            "country_code": "US",
            "telephone_number": "860-342-3252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISTLER",
        "first_name": "SHEILA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015179",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "015364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "SYLVESTRE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.