Individual provider Active NPI

Erin Connell, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1780431619
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104451 Issued in TX
Practice address
141 West 24TH St New York
New York, NY 10011
Phone
(786) 244-7711
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 104451 TX Primary

Addresses

Primary practice location

141 West 24TH St New York
New York, NY 10011

Mailing address

1550 Burnett St Apt 3214
Houston, TX 77009-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240604002580 TX Practitioner - Clinical Social Worker 6204378375 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ria Health PCGroup PAC ID 6204235682, 16 clinicians

Practice addresses (Care Compare)

Houston, TX 77009
Phone (800) 504-5360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104451TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Apr 30, 2024 Accepting new patients
Wellqor Psychological Services, PC Clinical CurrentSince Jan 15, 2025 Accepting new patients
Ria Health PC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1390 Market St
Ste 200
San Francisco, CA 94102
Phone (415) 864-4482

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440

5900 Balcones Dr
Ste 100
Austin, TX 78731

17304 Preston Rd
Ste 800
Dallas, TX 75252
Phone (214) 763-1985

11111 Katy Fwy
Ste 910
Houston, TX 77079
Phone (646) 687-4629

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 3

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": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1780431619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 BURNETT ST APT 3214",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770098880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WEST 24TH ST NEW YORK",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "786-244-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "ERIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.