Individual provider Active NPI

Jeanne Amenta, MSW

  • Clinical Social Worker
  • Rocky Hill, CT
National Provider Identifier
1982716635
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000765 Issued in 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
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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 000765 CT Primary

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

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
I20040429001162 CT Practitioner - Clinical Social Worker 9638166648 Practice locations: Middletown, CT

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000765CTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1982716635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WALKLEY ML",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064131071",
            "telephone_number": "860-944-9252",
            "fax_number": "860-664-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 SILAS DEANE HWY STE 4",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672328",
            "telephone_number": "860-944-9252",
            "fax_number": "860-664-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMENTA",
        "first_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.