Individual provider Active NPI

Boris Enowitch

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1891163127
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11078 Issued in CT
Practice address
309 N Main St
West Hartford, CT 06117-2674
Phone
(860) 805-6386
NPI assigned
Sep 3, 2015
Last updated
Aug 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2024

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 11078 CT Primary

Addresses

Primary practice location

309 N Main St
West Hartford, CT 06117-2674

Mailing address

PO Box 370093
West Hartford, CT 06137-0093
Phone (860) 805-6386

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
I20200922002131 CT Practitioner - Clinical Social Worker 7416375589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeler Clinic IncGroup PAC ID 0345147153, 105 clinicians

Practice addresses (Care Compare)

309 N Main St
West Hartford, CT 06117-2674
Phone (860) 805-6386

40 Hart St
New Britain, CT 06052-1759
Phone (860) 793-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boris Enowitch Ms LCSW LLC Clinical CurrentSince Jul 1, 2024 Accepting new patients

Locations

309 N Main St
West Hartford, CT 06117
Phone (860) 216-2007

81 S Main St
West Hartford, CT 06107
Phone (860) 521-4044

Interoperability endpoints

  • Direct secure messaging: boris.enowitch.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 2

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1891163127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370093",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061370093",
            "telephone_number": "860-805-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172674",
            "telephone_number": "860-805-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOWITCH",
        "first_name": "BORIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-03",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.