Active NPI
Karen P Sheehan-Wolff, L.C.S.W.
- Clinical Social Worker
- Woodbury, CT
National Provider Identifier
1942483060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 006004
- 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, 2008
- Sex
- Female
- 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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 006004 | CT | MD | Dental Hygienist |
| 6004 | CT | MD | Physician 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.