Individual provider Active NPI

Melissa Elek, LCSW

  • Clinical Social Worker
  • East Hartford, CT
National Provider Identifier
1790010866
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007126 Issued in CT
Practice address
281 Main St
East Hartford, CT 06118-1823
Phone
(860) 569-5900
Fax
(860) 569-5905
NPI assigned
Oct 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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 007126 CT Primary

Addresses

Primary practice location

281 Main St
East Hartford, CT 06118-1823

Mailing address

281 Main St
East Hartford, CT 06118-1823

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
I20100719000195 CT Practitioner - Clinical Social Worker 8224160866 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Southern Connecticut Christian Counseling CenterGroup PAC ID 9133266109, 9 clinicians

Practice addresses (Care Compare)

8 Wakeman Rd
Fairfield, CT 06824-5120
Phone (203) 255-5078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007126CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. CurrentSince Dec 23, 2009 Accepting new patients
Wellness Center of Oxford CurrentSince May 1, 2022 Accepting new patients
Intercommunity, Inc. CurrentSince Dec 23, 2009 Accepting new patients

Locations

281 Main St
East Hartford, CT 06118
Phone (860) 291-1335

800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451

350 Center Rock Grn
Ste 9
Oxford, CT 06478
Phone (203) 951-1858

4 Corporate Dr
Ste 486
Shelton, CT 06484
Phone (203) 951-1858

4 Corporate Dr
Ste 186
Shelton, CT 06484
Phone (203) 327-4444

Organizations & group practices 4

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1790010866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181823",
            "telephone_number": "860-569-5900",
            "fax_number": "860-569-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEK",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.