Individual provider Active NPI

Erin Pfeifer-Andrin, LCSW

  • Clinical Social Worker
  • Monroe, NY
National Provider Identifier
1972913937
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
010103 Issued in CT
Practice address
340 Mountain Ave
Monroe, NY 10950-1114
Phone
(917) 275-4884
NPI assigned
Apr 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 078515 NY
Clinical Social Worker 1041C0700X 010103 CT Primary

Addresses

Primary practice location

340 Mountain Ave
Monroe, NY 10950-1114

Mailing address

91 Madison Springs Dr
Madison, CT 06443-2419
Phone (917) 275-4884

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
I20180202002021 CT Practitioner - Clinical Social Worker 1850651266 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians

Practice addresses (Care Compare)

111 Westcott Rd
Danielson, CT 06239-2929
Phone (718) 298-4375

149 Durham Rd
Suite 30
Madison, CT 06443-2664
Phone (860) 464-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078515NYMDClinical Social Worker
010103CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Holistic Therapy LLC Clinical CurrentSince Sep 1, 2019 Accepting new patients
Behavioral Health and Wellness Solutions of CT, LLC Clinical CurrentSince Jan 2, 2018 Accepting new patients
Headway New Jersey Behavioral Health Services, P.C. CurrentSince May 22, 2024 Accepting new patients

Locations

1000 Lafayette Blvd
Ste 1100
Bridgeport, CT 06604
Phone (203) 513-9456

3013 Dixwell Ave
Hamden, CT 06518
Phone (203) 399-6071

149 Durham Rd
Ste 30
Madison, CT 06443
Phone (203) 530-0494

205 Hudson St
Fl 9
New York, NY 10013
Phone (516) 274-9095

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1972913937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MADISON SPRINGS DR",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432419",
            "telephone_number": "917-275-4884",
            "fax_number": "860-464-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MOUNTAIN AVE",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501114",
            "telephone_number": "917-275-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFER-ANDRIN",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078515",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

Verify at the official NPI Registry.