Individual provider Active NPI

Barbara Cable, LCSW

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1982633293
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003895 Issued in CT
Practice address
100 Jefferson SQ
Waterbury, CT 06706-1109
Phone
(203) 709-6200
Fax
(203) 709-3335
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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 003895 CT Primary

Addresses

Primary practice location

100 Jefferson SQ
Waterbury, CT 06706-1109

Mailing address

56 Franklin St
3Rd Floor
Waterbury, CT 06706-1221
Phone (203) 709-8873

Other identifiers 1

IdentifierTypeStateIssuer
004252285MedicaidCT

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
I20051018000311 CT Practitioner - Clinical Social Worker 9032135264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Connecticut School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Healthy Mind Psychiatric Services PCGroup PAC ID 4082874672, 5 clinicians

Practice addresses (Care Compare)

900 Straits Tpke
Suite D
Middlebury, CT 06762-2800
Phone (203) 270-5575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003895CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Healthy Mind Psychiatric Services PC Clinical CurrentSince Sep 1, 2019 Accepting new patients

Locations

900 Straits Tpke
Ste D
Middlebury, CT 06762
Phone (203) 270-5575

60 Westwood Ave
Ste 230
Waterbury, CT 06708
Phone (203) 753-2800

133 Scovill St
Ste 102
Waterbury, CT 06706
Phone (203) 270-5575

Organizations & group practices 1

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1982633293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "address_2": "3RD FLOOR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061221",
            "telephone_number": "203-709-8873",
            "fax_number": "203-709-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JEFFERSON SQ",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061109",
            "telephone_number": "203-709-6200",
            "fax_number": "203-709-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABLE",
        "first_name": "BARBARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004252285",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.