Individual provider Active NPI

Karen P Sheehan-Wolff, L.C.S.W.

  • Clinical Social Worker
  • Woodbury, CT
National Provider Identifier
1942483060
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006004 Issued in CT
Practice address
39 Sherman Hill Road
Cornerstone Professional Park, Suite C101
Woodbury, CT 06798
Phone
(203) 266-4545
Fax
(203) 263-0060
NPI assigned
Dec 12, 2007
Last updated
Sep 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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 006004 CT Primary

Addresses

Primary practice location

39 Sherman Hill Road
Cornerstone Professional Park, Suite C101
Woodbury, CT 06798

Mailing address

39 Sherman Hill Road
Cornerstone Professional Park, Suite C101
Woodbury, CT 06798
Phone (203) 266-4545

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
I20140528000685 CT Practitioner - Clinical Social Worker 6608099312 Practice locations: Woodbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39 Sherman Hill Rd
Suite C101
Woodbury, CT 06798-3650
Phone (203) 266-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006004CTMDDental Hygienist
6004CTMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1942483060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SHERMAN HILL ROAD",
            "address_2": "CORNERSTONE PROFESSIONAL PARK, SUITE C101",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "06798",
            "telephone_number": "203-266-4545",
            "fax_number": "203-263-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SHERMAN HILL ROAD",
            "address_2": "CORNERSTONE PROFESSIONAL PARK, SUITE C101",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "06798",
            "telephone_number": "203-266-4545",
            "fax_number": "203-263-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN-WOLFF",
        "first_name": "KAREN",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, CT

Sources for this page

Verify at the official NPI Registry.