Individual provider Active NPI

Nancy Aline Fawcett, MSW

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1881739183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003446 Issued in CT
Practice address
2 Olmstead PL
Norwalk, CT 06855-1318
Phone
(203) 426-1402
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 003446 CT Primary

Addresses

Primary practice location

2 Olmstead PL
Norwalk, CT 06855-1318

Mailing address

103 Head of Meadow Rd
Newtown, CT 06470-1788
Phone (203) 426-1402

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
I20111104000621 CT Practitioner - Clinical Social Worker 4183897242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

152 W St
Danbury, CT 06810-6361
Phone (203) 743-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003446CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Institute for Communities Inc Current Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Dec 26, 2017 Accepting new patients
Waterbury Hospital Past Accepting new patients

Locations

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

21 Memorial Dr
Danbury, CT 06810
Phone (203) 778-7479

21 Hayestown Ave
Danbury, CT 06811
Phone 2037974460 ext. 4936

43 Clapboard Ridge Rd
Danbury, CT 06811
Phone (203) 790-2886

120 Main St
Fl 4
Danbury, CT 06810
Phone (203) 743-9760

152 West St
Danbury, CT 06810
Phone (203) 791-5120

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

57 North St
Ste 309
Danbury, CT 06810
Phone (203) 794-0761

11 Queen St
Newtown, CT 06470
Phone (203) 270-6114

Interoperability endpoints

  • Direct secure messaging: nancy.fawcett@gdchc.eclinicaldirectplus.com

Organizations & group practices 3

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881739183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HEAD OF MEADOW RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701788",
            "telephone_number": "203-426-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OLMSTEAD PL",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068551318",
            "telephone_number": "203-426-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWCETT",
        "first_name": "NANCY",
        "middle_name": "ALINE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.