Organization Active NPI

Monica Echevarria, LLC

  • Clinical Social Worker
  • Rocky Hill, CT
National Provider Identifier
1952849119
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MONICA ECHEVARRIA, LLC
Practice address
2317 Silas Deane Hwy Ste 2
Rocky Hill, CT 06067-2341
Phone
(860) 906-2233
Fax
(860) 436-4792
NPI assigned
Feb 8, 2017
Last updated
Dec 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Mrs. Monica Echevarria, LCSWNPI 1861828139
Title
Licensed Clinical Social Worker
Phone
(860) 906-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Community/Behavioral Health Agency 251S00000X 9510 CT

Addresses

Primary practice location

2317 Silas Deane Hwy Ste 2
Rocky Hill, CT 06067-2341

Mailing address

2317 Silas Deane Hwy Ste 2
Rocky Hill, CT 06067-2341
Phone (860) 906-2233

Other identifiers 1

IdentifierTypeStateIssuer
008070835MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170620001461 CT Part B Supplier - Clinic/Group Practice 6305114182 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Hill, CT

National Provider Directory

National Provider Directory

Locations

2317 Silas Deane Hwy
Ste 2
Rocky Hill, CT 06067
Phone (860) 202-8738

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1952849119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 SILAS DEANE HWY STE 2",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672341",
            "telephone_number": "860-906-2233",
            "fax_number": "860-436-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 SILAS DEANE HWY STE 2",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672341",
            "telephone_number": "860-906-2233",
            "fax_number": "860-436-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA ECHEVARRIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "ECHEVARRIA",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-906-2233",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "9510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008070835",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.