Individual provider Active NPI

Kurt Fuchs, LCSW

  • Clinical Social Worker
  • Farmington, CT
National Provider Identifier
1891051983
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003828 Issued in CT
Practice address
5 Forest Park Dr
Suite 2
Farmington, CT 06032-1476
Phone
(860) 678-0323
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 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 003828 CT Primary

Addresses

Primary practice location

5 Forest Park Dr
Suite 2
Farmington, CT 06032-1476

Mailing address

5 Forest Park Dr
Suite 2
Farmington, CT 06032-1476
Phone (860) 678-0323

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
I20160816002577 CT Practitioner - Clinical Social Worker 1759675556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7 Melrose Dr
Suite 1C
Farmington, CT 06032-2255
Phone (860) 595-6993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3828CTMDPeriodontist
003828CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Therapy Solutions, LLC Clinical CurrentSince May 3, 2016 Accepting new patients

Locations

5 Forest Park Dr
Ste 2
Farmington, CT 06032
Phone (860) 678-0323

7 Melrose Dr
Ste 1C
Farmington, CT 06032
Phone (860) 595-6993

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1891051983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FOREST PARK DR",
            "address_2": "SUITE 2",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321476",
            "telephone_number": "860-678-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FOREST PARK DR",
            "address_2": "SUITE 2",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321476",
            "telephone_number": "860-678-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCHS",
        "first_name": "KURT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.