Individual provider Active NPI

Amber Naglie

  • Clinical Social Worker
  • Waterford, CT
National Provider Identifier
1740048115
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13783 Issued in CT
Practice address
29 Rope Ferry Rd
Waterford, CT 06385-2806
Phone
(860) 822-4778
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 13783 CT Primary

Addresses

Primary practice location

29 Rope Ferry Rd
Waterford, CT 06385-2806

Mailing address

34 E Town St
Norwich, CT 06360-2317
Phone (860) 892-7042

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
I20240517000315 CT Practitioner - Clinical Social Worker 5991146250 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The William W Backus Hospital CurrentSince Sep 14, 2024 Accepting new patients
United Community and Family Services, Inc. CurrentSince Apr 3, 2024 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Sep 14, 2024 Accepting new patients
United Community and Family Services, Inc. CurrentSince Apr 3, 2024 Accepting new patients
William W Backus Hospital CurrentSince Sep 14, 2024 Accepting new patients
The William W Backus Hospital Current Accepting new patients

Locations

70 Main St
Jewett City, CT 06351
Phone (860) 376-7040

47 Town St
Norwich, CT 06360

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Organizations & group practices 6

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1740048115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E TOWN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602317",
            "telephone_number": "860-892-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ROPE FERRY RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852806",
            "telephone_number": "860-822-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGLIE",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.