Karissa Piedescalzo, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

850 Straits Tpke Ste 201
Middlebury, CT 06762

Phone

(475) 414-0916

NPI assigned

May 23, 2016

Last updated

Oct 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Connecticut PCGroup PAC ID 9436502879, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karissa.piedescalzo.1@28623.direct.athenahealth.com

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.

• Optum Behavioral Care of Connecticut, P.C.

  • Counseling Psychologist
  • Plantsville, CT
  • NPI 1164203238
  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Connecticut, P.C.

  • Clinical Social Worker
  • Providence, RI
  • NPI 1730972944
  NPD

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1932556602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 STRAITS TPKE STE 201",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622843",
            "telephone_number": "475-414-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 STRAITS TPKE STE 201",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "06762",
            "telephone_number": "475-414-0916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 West St",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106528",
            "country_code": "US",
            "telephone_number": "203-721-4084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 West St",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106528",
            "country_code": "US",
            "telephone_number": "203-721-4084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIEDESCALZO",
        "first_name": "KARISSA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sagar Mohan Phatak, M. D.
• Waltor M Phillips, PH D
• Seth Phostole, M.S., CCC-SLP
• Physiotherapy Associates Inc
• Lauren Picard
• Nicolette Pilla, LPC-A
• Anthony Michael Polito, LMT
• Charles A Polnitsky, MD
• Katherine Leigh Pomeroy, M.A.,M.S.,L.M.F.T.
• Christine Elizabeth Pond, LPC

• Clinical Social Worker in Middlebury, CT
• Providers in Middlebury, 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 Oct 31, 2019; 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.