Jeanne Amenta, MSW
Individual provider Active NPI Clinical Social Worker · Rocky Hill, CT
NPI 1982716635 · NPPES record last updated Feb 25, 2022
Key facts
- NPI
- 1982716635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 000765 (CT)
- Practice address
- 2257 Silas Deane Hwy Ste 4
Rocky Hill, CT 06067-2328 - Phone
- (860) 944-9252
- Fax
- (860) 664-5575
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
769 Newfield St
Suite 6C
Middletown, CT 06457-1846
Phone (860) 944-9252
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040429001162 | CT | Practitioner - Clinical Social Worker | 9638166648 | Practice locations: Middletown, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000765 | CT | MD | Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000765 | CT | Yes |
Addresses
Primary practice location
2257 Silas Deane Hwy Ste 4
Rocky Hill, CT 06067-2328
Mailing address
5 Walkley ML
Clinton, CT 06413-1071
Phone (860) 944-9252
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004228674-00 | Medicaid | CT |
Other providers in Rocky Hill, CT
- Jadeyn Amara
- Jean Amara
- Gerly Amazan-Rodney
- Ambassador Wheelchair Services
- Samara Ambrosio
- American Health NE, LLC
- Amra Muminovic LLC
- Leah Anderson
- Leah Anderson
- Andrade Counseling Services
All providers in Rocky Hill, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.