Sarah R Beckett, MSW LCSW – Clinical Social Worker

Key facts

NPI: 1811025968
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 002256 (CT)
Practice address: 121 Lafayette St
Norwich, CT 06360
Phone: (860) 887-3626
Fax: (860) 376-5878
NPI assigned: Mar 1, 2007
Sex: Female
Sole proprietor: No

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 1987
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

67 Lafayette St
Norwich, CT 06360-3407
Phone (860) 887-3626

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20060130000872	CT	Practitioner - Clinical Social Worker	3577577436	Practice locations: Norwich, CT

National Provider Directory

Medicare enrollment (NPD): Yes

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	002256	CT	Yes

Addresses

Primary practice location

121 Lafayette St
Norwich, CT 06360

Mailing address

PO Box 206
Lebanon, CT 06249
Phone (860) 642-7928

Other identifiers

Identifier	Type	State	Issuer
134409	Other		VALUE OPTIONS
P2565117	Other	CT	OXFORD
140002256CT01	Other	CT	ANTHEM
188485	Other		MHN

Other names

Sallie R Gascoyne Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811025968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "LEBANON",
            "state": "CT",
            "postal_code": "06249",
            "telephone_number": "860-642-7928",
            "fax_number": "860-376-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LAFAYETTE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "06360",
            "telephone_number": "860-887-3626",
            "fax_number": "860-376-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "SARAH",
        "middle_name": "R",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "134409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2565117",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140002256CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "188485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLIE",
            "last_name": "GASCOYNE",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwich, CT

All providers in Norwich, CT · Clinical Social Worker in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.