Meg Bishop, LCSW
Individual provider Active NPI Clinical Social Worker · Eastford, CT
NPI 1821593922 · NPPES record last updated May 25, 2022
Key facts
- NPI
- 1821593922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 10129 (CT)
- Practice address
- 16 Trepal Dr
Eastford, CT 06242-9735 - Phone
- (860) 214-6883
- Fax
- (860) 429-2949
- NPI assigned
- Mar 29, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1066 Storrs Rd
Suite E
Storrs, CT 06268-2648
Phone (860) 214-6883
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 |
|---|---|---|---|---|
| I20220707001522 | CT | Practitioner - Clinical Social Worker | 5890059976 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10129 | CT | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meg Bishop, LCSW, LLC | Clinical | Current |
Accepting new patients |
Locations
1066 Storrs Rd
Ste E
Storrs Mansfield, CT 06268
Phone (860) 214-6883
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10129 | CT | Yes |
Addresses
Primary practice location
16 Trepal Dr
Eastford, CT 06242-9735
Mailing address
16 Trepal Dr
Eastford, CT 06242-9735
Phone (860) 214-6883
Other providers in Eastford, CT
- Robert F Adam
- Signe Adam
- Mary Jean Dennison
- Eastford School District
- Aubrey Hines
- Milissa Diane Jimenez
- Kozey Greene Wellness
All providers in Eastford, 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 May 25, 2022. 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.