Individual provider Active NPI

Debra S. Hart, LCSW

  • Clinical Social Worker
  • Torrington, CT
National Provider Identifier
1821360744
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6833 Issued in CT
Practice address
57 Pfeffer LN
Torrington, CT 06790-3525
Phone
(860) 921-8408
Fax
(860) 496-9341
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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 6833 CT Primary

Addresses

Primary practice location

57 Pfeffer LN
Torrington, CT 06790-3525

Mailing address

57 Pfeffer LN
Torrington, CT 06790-3525
Phone (860) 921-8408

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
I20120504000581 CT Practitioner - Clinical Social Worker 8224290440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Connecticut School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Meadow St
Suite 2
Litchfield, CT 06759-3504
Phone (860) 361-6233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6833CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartworks, LLC Clinical CurrentSince Mar 26, 2012 Accepting new patients

Locations

15 Meadow St
Ste 2
Litchfield, CT 06759
Phone (860) 361-6233

Organizations & group practices 1

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": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1821360744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PFEFFER LN",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903525",
            "telephone_number": "860-921-8408",
            "fax_number": "860-496-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PFEFFER LN",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903525",
            "telephone_number": "860-921-8408",
            "fax_number": "860-496-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "DEBRA",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "6833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.