1. Home
  2. Directory
  3. Connecticut
  4. Waterbury
  5. Social Worker
  6. NPI Profile

MRS. CARISSA COUNTRYMAN EDDY LCSW
NPI 1174794499
Social Worker - Clinical in Waterbury, CT

Active since March 14, 2008PECOS Enrolled
55 WEST MAIN STREET, SUITE 410 WESTERN CONNECTICUT MENTAL HEALTH NETWORK, WATERBURY, CT 06702(203) 805-6400(203) 805-6432 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Carissa Countryman Eddy Lcsw NPPES

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

MRS. CARISSA COUNTRYMAN EDDY LCSW (NPI 1174794499) is an individual clinical provider in Waterbury, Connecticut, licensed in Connecticut (006173) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174794499
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. CARISSA COUNTRYMAN EDDYCredential: LCSW
Location Address55 WEST MAIN STREET, SUITE 410 WESTERN CONNECTICUT MENTAL HEALTH NETWORKWaterbury, CT 06702
Mailing Address55 West Main Street, Suite 410 Western Connecticut Mental Health NetworkWaterbury, CT 06702 · (203) 805-6400 · Fax (203) 805-6432
Phone(203) 805-6400
Fax(203) 805-6432
Sole ProprietorNo
Enumeration DateMarch 14, 2008
Last NPPES UpdateMarch 18, 2008
✔ NPI 1174794499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 006173
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.
55 WEST MAIN STREET, Waterbury, CT 06702
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carissa Countryman Eddy Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Carissa Eddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Connecticut
Same address
Adult Mental Health
55 WEST MAIN STREET, SUITE 410 ROWLAND STATE GOVERNMENT CENTER
Waterbury, CT 06702
  • Reassigned Medicare billing, Connecticut enrollment
  • 102 clinicians in this Medicare group
NPI 1841225489 (203) 805-6403

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06702 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.

JENNIFER GIORDANO LCSW
Social Worker (Clinical)
55 WEST MAIN STREET, WESTERN CONNECTICUT MENTAL HEALTH NETWORK SUITE 410
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-6408
PAULA ZIGMAN
Social Worker (Clinical)
55 WEST MAIN STREET, SUITE 410 WESTERN CONNECTICUT MENTAL HEALTH NETWORK
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-6408
JEFFREY ABDON ASMAR LCSW
Social Worker (Clinical)
55 WEST MAIN STREET, SUITE 410
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-6408
LISA M MURRAY LCSW
Social Worker (Clinical)
55 WEST MAIN STREET, WESTERN CONNECTICUT MENTAL HEALTH NETWORK SUITE 410
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-6408
WILLIAM G CROTTI LCSW
Social Worker (Clinical)
55 WEST MAIN STREET, WESTERN CONNECTICUT MENTAL HEALTH NETWORK SUITE 410
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-6408
GAIL ANDREA EMMERSON LCSW
Social Worker (Clinical)
55 WEST MAIN STREET, WESTERN CONNECTICUT MENTAL HEALTH NETWORK SUITE 410
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-6408
ALEX CHASY LCSW
Social Worker (Clinical)
55 WEST MAIN STREET, SUITE 410
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-6408
FRANK C PINTO LCSW
Social Worker (Clinical)
55 WEST MAIN STREET, SUITE 410
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-6408

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 Carissa Eddy's NPI number?

The NPI number for Carissa Eddy is 1174794499. It was assigned to this individual provider in the NPPES registry on March 14, 2008.

Where is Carissa Eddy located?

Carissa Eddy practices at 55 West Main Street Suite 410 Western Connecticut Mental Health Network, Waterbury, CT 06702. The listed phone number is (203) 805-6400.

What is Carissa Eddy's specialty?

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

Is Carissa Eddy enrolled in Medicare?

Yes. Carissa Eddy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carissa Eddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Eddy reassigns Medicare benefits to State Of Connecticut (Waterbury, CT). The 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 Carissa Eddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carissa Eddy was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.