DAMIRA KANDIC
NPI 1164191573
Social Worker in Bristol, CT

Active since September 09, 2021PECOS EnrolledAccepts Medicare Assignment
10 N MAIN ST, BRISTOL, CT 06010(888) 793-3500 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2022, Sep 9, 2021 (2 updates tracked since 2021).

About Damira Kandic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAMIRA KANDIC (NPI 1164191573) is an individual social worker in Bristol, Connecticut and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waterbury, and is a graduate of University Of Cincinnati College Of Medicine (2022).

NPPES Registry Identity

NPI1164191573
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDAMIRA KANDIC
Location Address10 N MAIN STBristol, CT 06010-8122
Mailing Address10 N Main StBristol, CT 06010-8122 · (888) 793-3500
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2022
Enumeration DateSeptember 9, 2021
Last NPPES UpdateSeptember 19, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1164191573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
10 N MAIN ST, Bristol, CT 06010

Secondary Practice Location 1

Location 1402 E Main StWaterbury, CT 06702-1701 · Phone (203) 574-9000 ext. 1162 · Fax (203) 574-9006

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Damira Kandic is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870010077
PECOS Enrollment IDI20250512000892
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Damira Kandic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
91 NORTHWEST DRIVE
Plainville, CT 06062
  • Reassigned Medicare billing, Connecticut enrollment
  • 217 clinicians in this Medicare group
Marriage & Family Therapist
55 WALLS DR, STE 206
Fairfield, CT 06824
  • Reassigned Medicare billing, Connecticut enrollment
  • 42 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
10 N MAIN ST
BRISTOL, CT 06010
Social Worker
10 N MAIN ST
BRISTOL, CT 06010
Psychiatry & Neurology (Child & Adolescent Psychiatry)
10 N MAIN ST, SUITE 210
BRISTOL, CT 06010
Registered Nurse (Pediatrics)
10 N MAIN ST
BRISTOL, CT 06010
Social Worker
10 N MAIN ST
BRISTOL, CT 06010
Social Worker
10 N MAIN ST
BRISTOL, CT 06010
Registered Nurse
10 N MAIN ST
BRISTOL, CT 06010
Counselor (School)
10 N MAIN ST
BRISTOL, CT 06010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Damira Kandic's NPI number?

The NPI number for Damira Kandic is 1164191573. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Damira Kandic located?

Damira Kandic practices at 10 N Main St, Bristol, CT 06010. The listed phone number is (888) 793-3500.

What is Damira Kandic's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Damira Kandic enrolled in Medicare?

Yes. Damira Kandic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Damira Kandic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Damira Kandic reassigns Medicare benefits to 2 organizations: Wheeler Clinic Inc (Plainville, CT) and Emh Family Services PC (Fairfield, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Damira Kandic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Damira Kandic accept?

Health plans from Anthem Blue Cross and Blue Shield list Damira Kandic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Damira Kandic was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.