Luciano Abbatemarco, LCSW
Individual provider Active NPI Clinical Social Worker · Hartford, CT
NPI 1891096764 · NPPES record last updated Nov 9, 2010
Key facts
- NPI
- 1891096764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 007268 (CT)
- Practice address
- 200 Retreat Avenue
Hartford Hospital Child Psychiatry
Hartford, CT 06106-3310 - Phone
- (860) 545-7239
- NPI assigned
- Nov 9, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jewish Family Services of Greater Hartford
Practice addresses (Care Compare)
333 Bloomfield Ave
Suite a
West Hartford, CT 06117-1500
Phone (860) 236-1927
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 |
|---|---|---|---|---|
| I20110202000136 | CT | Practitioner - Clinical Social Worker | 9830379254 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007268 | CT | MD | Clinical Social Worker |
| 7268 | CT | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Services of Greater Hartford | Clinical | Current |
Accepting new patients |
Locations
333 Bloomfield Ave
Ste A
West Hartford, CT 06117
Phone (860) 236-1927
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 007268 | CT | Yes |
Addresses
Primary practice location
200 Retreat Avenue
Hartford Hospital Child Psychiatry
Hartford, CT 06106-3310
Mailing address
PO Box 415933
Hartford Hospital Professional Services
Boston, MA 02241-5933
Phone (860) 545-7602
Other providers in Hartford, CT
- Sobia Aamir
- ABA Connections
- Syed Kumail Abbas
- Darlene Florence Abbate
- Denise E Abbate
- Carol A Abbatiello
- Kathleen M Abbott
- Lincoln F Abbott
- Rania Abdelaziz
- Ahmed Abdelwahed
All providers in Hartford, 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 Nov 9, 2010. 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.