Enid Helene Peterson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003448 Issued in CT

Practice address

1 S Main St
Suite 5
Branford, CT 06405-3872

Phone

(203) 481-1031

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Behavioral Health and Wellness Solutions of CT LLCGroup PAC ID 5395020945, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Behavioral Health and Wellness Solutions of CT, LLC

  • Clinical Social Worker
  • Hamden, CT
  • NPI 1114479888
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, CT

  Medicare reassignment NPD
• Behavioral Health & Wellness, LLC

  • Clinical Social Worker
  • Hamden, CT
  • NPI 1760149447
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912044413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 EVERGREEN AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182745",
            "telephone_number": "203-281-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S MAIN ST",
            "address_2": "SUITE 5",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053872",
            "telephone_number": "203-481-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ENID",
        "middle_name": "HELENE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Perez-Catania, LCSW
• Jamie Leigh Perillo, LPC
• Kara Perno, LCSW
• Elizabeth R Perrone-Gray, APRN, CPNP, MSN
• Mark Anthony Perrotti, MD
• Michaela A Peterson, DC, FACO
• Logan M Petit, MD
• Roseanna Petonito
• Alex Petri, LMFT
• Tierra Phillips

• Clinical Social Worker in Branford, CT
• Providers in Branford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.