Active NPI
Jeff Epps, LCSW, LADC
- Clinical Social Worker
- Meriden, CT
National Provider Identifier
1982113379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 012813
- Practice address
- 189 Evergreen LN
Meriden, CT 06450-6805 - Phone
- (203) 820-1570
- NPI assigned
- Sep 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Registered Nurse
- Rocky Hill, CT
- NPI 1174949572
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Connecticut Addiction Medicine, LLC
Practice addresses (Care Compare)
546 Cromwell Ave
Suite 101
Rocky Hill, CT 06067-1898
Phone (860) 757-3874
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 |
|---|---|---|---|---|
| I20230410000357 | CT | Practitioner - Clinical Social Worker | 7315312196 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1255 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anna Gut LLC | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1255 | CT | |
| Clinical Social Worker | 1041C0700X | 012813 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
189 Evergreen LN
Meriden, CT 06450-6805
Mailing address
189 Evergreen LN
Meriden, CT 06450-6805
Phone (203) 820-1570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2024.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1982113379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 EVERGREEN LN",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064506805",
"telephone_number": "203-820-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 EVERGREEN LN",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064506805",
"telephone_number": "203-820-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPS",
"first_name": "JEFF",
"credential": "LCSW, LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-28",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "1255",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "012813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.