Individual provider Active NPI

Erin Joudrey, LCSW

  • Clinical Social Worker
  • Hebron, CT
National Provider Identifier
1992124507
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008554 Issued in CT
Practice address
4 Main St
Hebron, CT 06248-1515
Phone
(860) 284-1177
Fax
(860) 284-1125
NPI assigned
Apr 10, 2014
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 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 008554 CT Primary

Addresses

Primary practice location

4 Main St
Hebron, CT 06248-1515

Mailing address

4 Main St
Hebron, CT 06248-1515
Phone (860) 460-0499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 7, 2025 through Jan 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008554CTMDClinical Social Worker
8554CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Joudrey, LLC. CurrentSince Oct 30, 2022 Accepting new patients

Locations

4 Main St
Hebron, CT 06248
Phone (860) 365-1856

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, 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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1992124507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MAIN ST",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481515",
            "telephone_number": "860-460-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MAIN ST",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481515",
            "telephone_number": "860-284-1177",
            "fax_number": "860-284-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUDREY",
        "first_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, CT

Sources for this page

Verify at the official NPI Registry.