Individual provider Active NPI

Debra Morton

  • Clinical Social Worker
  • Ridgefield, CT
National Provider Identifier
1811454911
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007896 Issued in CT
Practice address
21 South St
Ridgefield, CT 06877
Phone
(203) 438-6541
Fax
(203) 798-9200
NPI assigned
Feb 25, 2019
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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 007896 CT Primary

Addresses

Primary practice location

21 South St
Ridgefield, CT 06877

Mailing address

21 South St
Ridgefield, CT 06877-4102
Phone (203) 438-6541

Other practice location 1

426 Bennetts Farm Rd
Ridgefield, CT 06877-2203
Phone (914) 672-7253

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
I20190329000369 CT Practitioner - Clinical Social Worker 3779823737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emh Family Services PCGroup PAC ID 9931561982, 27 clinicians

Practice addresses (Care Compare)

55 Walls Dr
Suite 206
Fairfield, CT 06824-5180
Phone (203) 689-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007896CTMDClinical Social Worker
7896CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Family Services PC CurrentSince Jul 17, 2023 Accepting new patients
Southbury Medical Associates, LLP PastSince Mar 25, 2019 Accepting new patients

Locations

55 Walls Dr
Ste 206
Fairfield, CT 06824
Phone (203) 635-5776

38A Grove St
Ste 101
Ridgefield, CT 06877
Phone (203) 896-8888

Organizations & group practices 2

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1811454911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SOUTH ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774102",
            "telephone_number": "203-438-6541",
            "fax_number": "203-798-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SOUTH ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "06877",
            "telephone_number": "203-438-6541",
            "fax_number": "203-798-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 Bennetts Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "CT",
            "postal_code": "068772203",
            "country_code": "US",
            "telephone_number": "914-672-7253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTON",
        "first_name": "DEBRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.