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MR. EDWIN G TAETSCH LCSW
NPI 1164445581
Social Worker - Clinical in New London, CT

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
21 MONTAUK AVE, NEW LONDON, CT 06320(860) 439-6400 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Edwin G Taetsch Lcsw NPPES

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

MR. EDWIN G TAETSCH LCSW (NPI 1164445581) is an individual clinical provider in New London, Connecticut, licensed in Connecticut (9037) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1164445581
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. EDWIN G TAETSCHCredential: LCSW
Location Address21 MONTAUK AVENew London, CT 06320-4906
Mailing Address21 Montauk AveNew London, CT 06320-4906 · (860) 439-6400
Phone(860) 439-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJuly 26, 2006
Last NPPES UpdateDecember 13, 2018
✔ NPI 1164445581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CT · 9037✔ Licensed in MO · 2002025562
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
21 MONTAUK AVE, New London, CT 06320
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Other Identifiers 3

Medicaid469004813MO
Medicaid008065427CT
Medicaid200912137MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Edwin G Taetsch Lcsw 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 ID5193786291
PECOS Enrollment IDI20160719002133
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
291 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JODI SAMMARTINO LCSW
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 439-6400
CHERYL COTE M.S.W.
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 271-4700
MARGARET H CORNELL APRN
Clinical Nurse Specialist (Psychiatric/Mental Health, Geropsychiatric)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 271-4700
BETHANY GALLANT LPC
Counselor (Professional)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-0530
KATHLEEN GREGA LCSW
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 439-6400
CHRYSTAL ALINE CANOVA LCSW
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 439-6400
SARAH BOCHET
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 439-4700
DR. AMAN SYED DDS
Dentist (General Practice)
21 MONTAUK AVE, SUITE 102
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-9280

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 Edwin Taetsch's NPI number?

The NPI number for Edwin Taetsch is 1164445581. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Edwin Taetsch located?

Edwin Taetsch practices at 21 Montauk Ave, New London, CT 06320. The listed phone number is (860) 439-6400.

What is Edwin Taetsch's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Edwin Taetsch enrolled in Medicare?

Yes. Edwin Taetsch 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.

When was this NPI record last updated?

The NPPES record for Edwin Taetsch was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.