Active NPI
Hannah Small-Oie, L.C.S.W
- Clinical Social Worker
- New Haven, CT
National Provider Identifier
1750639597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 008946
- Practice address
- 495 Congress Ave
New Haven, CT 06519-1312 - Phone
- (203) 781-4600
- Fax
- (203) 781-4625
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 008946 | CT | Primary |
Addresses
Primary practice location
495 Congress Ave
New Haven, CT 06519-1312
Mailing address
1 Long Wharf Dr
Apt Foundation, Suite 10
New Haven, CT 06511-5991
Phone (203) 781-4357
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008001325 | Medicaid | CT | |
| 008022622 | Medicaid | CT | |
| 004082260 | Medicaid | CT | |
| 008061961 | Other | CT | SMALL-OIE MEDICAID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008946 | CT | MD | General Practice Dentistry |
| 8946 | CT | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1750639597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LONG WHARF DR",
"address_2": "APT FOUNDATION, SUITE 10",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115991",
"telephone_number": "203-781-4357",
"fax_number": "203-781-4705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 CONGRESS AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191312",
"telephone_number": "203-781-4600",
"fax_number": "203-781-4625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL-OIE",
"first_name": "HANNAH",
"name_prefix": "Mrs.",
"credential": "L.C.S.W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "008946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008001325",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008022622",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004082260",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMALL-OIE MEDICAID #",
"identifier": "008061961",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.