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JAY EDWARD SOUZA-ERLANDSON LCSW
NPI 1255115226
Social Worker - Clinical in East Lyme, CT

Active since August 22, 2023PECOS EnrolledAccepts Medicare Assignment
205 BUOY LN, EAST LYME, CT 06333(401) 315-4538 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2025, Jun 11, 2025, Aug 22, 2023 (3 updates tracked since 2023).

About Jay Edward Souza-erlandson Lcsw NPPES

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

JAY EDWARD SOUZA-ERLANDSON LCSW (NPI 1255115226) is an individual clinical provider in East Lyme, Connecticut, licensed in Connecticut (15405) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1255115226
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAY EDWARD SOUZA-ERLANDSONCredential: LCSW
Location Address205 BUOY LNEast Lyme, CT 06333-1777
Mailing Address205 Buoy LnEast Lyme, CT 06333-1777 · (401) 315-4538
Phone(401) 315-4538
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 22, 2023
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1255115226 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 · 15405
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.
205 BUOY LN, East Lyme, CT 06333
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1132 Windham AvenueWillimantic, CT 06226 · Phone (860) 465-3490
Location 275 Granite StNew London, CT 06320-5770 · Phone (860) 245-9372
Location 3326 Washington StNorwich, CT 06360-2740 · Phone (860) 889-8331

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

Jay Edward Souza-erlandson 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 ID9133618598
PECOS Enrollment IDI20251028000106
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06333 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 2

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

ONDA CALMA WELLNESS
Social Worker (Clinical)
205 BUOY LN
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (401) 315-4538
ONDA HARBOR COUNSELING
Community/Behavioral Health
205 BUOY LN
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 383-9470

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 Jay Souza-erlandson's NPI number?

The NPI number for Jay Souza-erlandson is 1255115226. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Jay Souza-erlandson located?

Jay Souza-erlandson practices at 205 Buoy Ln, East Lyme, CT 06333. The listed phone number is (401) 315-4538.

What is Jay Souza-erlandson's specialty?

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

Is Jay Souza-erlandson enrolled in Medicare?

Yes. Jay Souza-erlandson 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 Jay Souza-erlandson was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.