Individual provider Active NPI

Karen E Fahey, LCSW

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1972780799
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005204 Issued in CT
Practice address
675 Tower Ave
Suite 301
Hartford, CT 06112-1273
Phone
(860) 714-2750
Fax
(860) 714-8591
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 005204 CT Primary

Addresses

Primary practice location

675 Tower Ave
Suite 301
Hartford, CT 06112-1273

Mailing address

675 Tower Ave
Suite 301
Hartford, CT 06112-1273
Phone (860) 714-2750

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidCT

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
I20080722000575 CT Practitioner - Clinical Social Worker 6901979046 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
WCT Behavioral Health and Medication Management PLLCGroup PAC ID 8820480734, 30 clinicians

Practice addresses (Care Compare)

211 Schraffts Dr
Lowr Level
Waterbury, CT 06705-3222
Phone (203) 518-8218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5204CTMDProfessional Counselor
005204CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Aug 8, 2011 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Apr 17, 2017 Accepting new patients
Harvest Healthcare LLC Clinical CurrentSince Jun 25, 2018 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Aug 8, 2011 Accepting new patients
WCT Behavioral Health & Medication Management PLLC CurrentSince Jan 1, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 1, 2023 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Current Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Apr 17, 2017 Accepting new patients
State of Connecticut PastSince Jan 1, 2002 Accepting new patients
State of Connecticut Past Accepting new patients

Locations

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

211 Schraffts Dr
Lowr
Waterbury, CT 06705
Phone (203) 518-8218

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1972780799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 TOWER AVE",
            "address_2": "SUITE 301",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121273",
            "telephone_number": "860-714-2750",
            "fax_number": "860-714-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWER AVE",
            "address_2": "SUITE 301",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121273",
            "telephone_number": "860-714-2750",
            "fax_number": "860-714-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.