Individual provider Active NPI

Alyse Pam Schwartz

  • Social Worker
  • Vernon, CT
National Provider Identifier
1790972917
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
45 Hartford Tpke
Ste 2
Vernon, CT 06066-5274
Phone
(860) 647-8995
Fax
(860) 647-6930
NPI assigned
Oct 2, 2007
Last updated
Sep 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

45 Hartford Tpke
Ste 2
Vernon, CT 06066-5274

Mailing address

91 Northwest Dr
Plainville, CT 06062-1534
Phone (860) 793-4200

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
I20160929002599 CT Practitioner - Clinical Social Worker 1456648716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Behavioral Health, LLCGroup PAC ID 1850301508, 10 clinicians

Practice addresses (Care Compare)

26 Chamberlain Hwy
Kensington, CT 06037-1921
Phone 8608930040214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9338CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Behavioral Health, LLC CurrentSince Jan 1, 2019 Accepting new patients
Paragon Behavioral Health, LLC CurrentSince Jan 1, 2019 Accepting new patients
Paragon Behavioral Health, LLC Current Accepting new patients
Psychotherapy Services of CT, LLC CurrentSince Jun 13, 2018 Accepting new patients

Locations

26 Chamberlain Hwy
Kensington, CT 06037
Phone (860) 893-0040

45 Hartford Tpke
Ste 2
Vernon Rockville, CT 06066
Phone (860) 647-8995

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1790972917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 NORTHWEST DR",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621534",
            "telephone_number": "860-793-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HARTFORD TPKE",
            "address_2": "STE 2",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665274",
            "telephone_number": "860-647-8995",
            "fax_number": "860-647-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "ALYSE",
        "middle_name": "PAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.