Active NPI
Robert Page, LCSW
- Clinical Social Worker
- New Haven, CT
National Provider Identifier
1912098492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 001952
- Practice address
- 660 Winchester Ave
Ground Floor
New Haven, CT 06511-1969 - Phone
- (203) 776-8390
- Fax
- (203) 773-0788
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 001952 | CT | Primary |
Addresses
Primary practice location
660 Winchester Ave
Ground Floor
New Haven, CT 06511-1969
Mailing address
419 Whalley Ave
Suite 301
New Haven, CT 06511-3019
Phone (203) 785-1331
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050830000247 | CT | Practitioner - Clinical Social Worker | 1557392529 | Practice locations: New Haven, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Connecticut School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
625 Central Ave
Suite 1
New Haven, CT 06515-2168
Phone (203) 785-1331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1952 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Haven, CT
- NPI 1922291319
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Haven, CT
- NPI 1245300433
-
- Community/Behavioral Health Agency
- New Haven, CT
- NPI 1891087722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1912098492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 WHALLEY AVE",
"address_2": "SUITE 301",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113019",
"telephone_number": "203-785-1331",
"fax_number": "203-848-1466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 WINCHESTER AVE",
"address_2": "GROUND FLOOR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065111969",
"telephone_number": "203-776-8390",
"fax_number": "203-773-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "001952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.