Individual provider Active NPI

Albert Robert Cagganello, LCSW

  • Clinical Social Worker
  • Torrington, CT
National Provider Identifier
1801052238
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006689 Issued in CT
Practice address
249 Winsted Rd
Torrington, CT 06790-2958
Phone
(860) 496-3700
Fax
(860) 496-3868
NPI assigned
Aug 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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 006689 CT Primary

Addresses

Primary practice location

249 Winsted Rd
Torrington, CT 06790-2958

Mailing address

249 Winsted Rd
Torrington, CT 06790-2958
Phone (860) 496-3700

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
I20081105000424 CT Practitioner - Clinical Social Worker 2264591403 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Hartford, CT 06103
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006689NYMDAcupuncturist
006689CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Apr 28, 2017 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jun 26, 2024 Accepting new patients

Locations

100 Pearl St
Hartford, CT 06103
Phone (860) 969-1463

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1801052238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 WINSTED RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067902958",
            "telephone_number": "860-496-3700",
            "fax_number": "860-496-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 WINSTED RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067902958",
            "telephone_number": "860-496-3700",
            "fax_number": "860-496-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGGANELLO",
        "first_name": "ALBERT",
        "middle_name": "ROBERT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.