Erin Joudrey, LCSW
Individual provider Active NPI Clinical Social Worker · Hebron, CT
NPI 1992124507 · NPPES record last updated Nov 8, 2022
Key facts
- NPI
- 1992124507
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 008554 (CT)
- Practice address
- 4 Main St
Hebron, CT 06248-1515 - Phone
- (860) 284-1177
- Fax
- (860) 284-1125
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- 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
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008554 | CT | MD | Clinical Social Worker |
| 8554 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin Joudrey, LLC. | Current |
Accepting new patients |
Locations
4 Main St
Hebron, CT 06248
Phone (860) 284-1177
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 008554 | CT | Yes |
Addresses
Primary practice location
4 Main St
Hebron, CT 06248-1515
Mailing address
4 Main St
Hebron, CT 06248-1515
Phone (860) 460-0499
Other providers in Hebron, CT
- Sarah Hilding
- Myriah Wenona Hinchey
- Elisa Holmes
- Hayden Oakes Houston Jr.
- Alona Huber
- Daniela La Rosa Karanda
- Julie Beth Kniess
- Jeffrey M Kraman
- Laura Landry
- Live Well Coaching Inc
All providers in Hebron, 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 Nov 8, 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.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.