Individual provider Active NPI

Nancy Elizabeth Oporto-Brown, J.D., MSW, LCSW

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1992249080
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008655 Issued in CT
Practice address
210 Wethersfield Ave
Hartford, CT 06114-1113
Phone
(860) 296-0094
Fax
(860) 206-1184
NPI assigned
Dec 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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 008655 CT Primary

Addresses

Primary practice location

210 Wethersfield Ave
Hartford, CT 06114-1113

Mailing address

66 Sunset RDG
Rocky Hill, CT 06067-2913
Phone (860) 682-2718

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
I20170308001186 CT Practitioner - Clinical Social Worker 1254615362 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
008655CTMDClinical Social Worker
8655CTMDGerontology Clinical Nurse Specialist

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": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1992249080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SUNSET RDG",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672913",
            "telephone_number": "860-682-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WETHERSFIELD AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141113",
            "telephone_number": "860-296-0094",
            "fax_number": "860-206-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPORTO-BROWN",
        "first_name": "NANCY",
        "middle_name": "ELIZABETH",
        "credential": "J.D., MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.