Daisy Abbott, LCSW
Individual provider Active NPI Clinical Social Worker · Middletown, CT
NPI 1831112424 · NPPES record last updated Jun 21, 2024
Key facts
- NPI
- 1831112424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 007770 (CT)
- Practice address
- 675 Main St
Middletown, CT 06457-2718 - Phone
- (860) 347-6971
- Fax
- (860) 704-8034
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Jewish Family Service of New Haven Inc.
Mja Behavioral Health and Wellness
Practice addresses (Care Compare)
1440 Whalley Ave
New Haven, CT 06515-1144
Phone (203) 389-5599
2 Corporate Dr
Suite 950
Shelton, CT 06484-6246
Phone (203) 200-0617
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 |
|---|---|---|---|---|
| I20190509000138 | CT | Practitioner - Clinical Social Worker | 6608007414 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007770 | CT | MD | Clinical Social Worker |
| 7770 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of New Haven Inc. | Clinical | Current |
Accepting new patients |
| M.J.a. Behavioral Health and Wellness | Current |
Accepting new patients | |
| Themindfullcup, LLC | Current |
Accepting new patients | |
| Jewish Family Service of New Haven Inc | Current |
Accepting new patients | |
| Twin Peaks Counseling, LLC | Clinical | Current |
Accepting new patients |
Locations
111 Beach Rd
Ste 350
Fairfield, CT 06824
Phone (203) 293-0224
1440 Whalley Ave
New Haven, CT 06515
Phone (203) 389-5599
2 Corporate Dr
Ste 950
Shelton, CT 06484
Phone (203) 200-0617
260 Amity Rd
Woodbridge, CT 06525
Phone (203) 397-7767
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/jfsnh/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 007770 | CT | Yes |
Addresses
Primary practice location
675 Main St
Middletown, CT 06457-2718
Mailing address
575 Main St FL 2
Attn: Credentialing Department
Middletown, CT 06457-2845
Phone (860) 347-6971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008035232 | Medicaid | CT |
Other names
- Daisy Abbott Sletcher
Other providers in Middletown, CT
- A Touch of Love Home Care LLC
- A.M. Hart Parenting Consulting LLC
- A&Z Transportation, LLC
- Crispin Reynaldo Abarientos
- Khaled Abaza
- Suleiman Manuel Gomes Abiola
- Ashley Ables
- Abstract Mind
- Paula Accomando
- Magdaline Ackers
All providers in Middletown, 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 Jun 21, 2024. 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.