Individual provider Active NPI

Emily Kate Kloo, LCSW

  • Clinical Social Worker
  • Bloomfield, CT
National Provider Identifier
1821497397
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58.009608 Issued in CT
Practice address
693 Bloomfield Ave
Bloomfield, CT 06002-2489
Phone
(860) 243-6584
Fax
(860) 243-6591
NPI assigned
Aug 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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 58.009608 CT Primary

Addresses

Primary practice location

693 Bloomfield Ave
Bloomfield, CT 06002-2489

Mailing address

200 Rutledge Rd
Wethersfield, CT 06109-1934
Phone (203) 596-9359

Other practice location 1

13 Wolcott St
Waterbury, CT 06702-1727
Phone (203) 596-9359 ext. 236

Other names 1

  • Emily Kate Royce Former name

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
I20161212000417 CT Practitioner - Clinical Social Worker 8729368691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Connecticut School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mellahealth LLCGroup PAC ID 9032528658, 23 clinicians

Practice addresses (Care Compare)

125 Lasalle Rd
Suite 300
West Hartford, CT 06107-2311
Phone (860) 810-0587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58.009608CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Inc. - Archdiocese of Hartford CurrentSince Dec 6, 2016 Accepting new patients
Community Health Resources, Inc. CurrentSince Apr 16, 2018 Accepting new patients
Mellahealth LLC Clinical CurrentSince Jul 22, 2021 Accepting new patients
Ruby Psychiatric Services, PLLC PastSince Jul 22, 2021 Accepting new patients

Locations

693 Bloomfield Ave
Bloomfield, CT 06002
Phone (860) 242-8427

153 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5020

132 Grove St
Torrington, CT 06790
Phone (860) 482-5558

125 Lasalle Rd
Ste 300
West Hartford, CT 06107
Phone (860) 342-8192

2 Waterside Xing
Ste 401
Windsor, CT 06095

Interoperability endpoints

  • Direct secure messaging: emily.royce.p1@direct.wheelerclinic.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1821497397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RUTLEDGE RD",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091934",
            "telephone_number": "203-596-9359",
            "fax_number": "203-757-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022489",
            "telephone_number": "860-243-6584",
            "fax_number": "860-243-6591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Wolcott St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067021727",
            "country_code": "US",
            "telephone_number": "203-596-9359 x236",
            "fax_number": "203-757-9753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOO",
        "first_name": "EMILY",
        "middle_name": "KATE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.009608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ROYCE",
            "middle_name": "KATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.