AMY ROE
NPI 1275934226
Social Worker - Clinical in New London, CT

Active since September 09, 2014PECOS Enrolled
21 MONTAUK AVE, NEW LONDON, CT 06320(860) 439-6400(860) 390-1463 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2022, Oct 14, 2020, Jul 23, 2019 (3 updates tracked since 2019).

About Amy Roe NPPES

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

AMY ROE (NPI 1275934226) is an individual clinical provider in New London, Connecticut, licensed in Connecticut (10195) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dayville.

NPPES Registry Identity

NPI1275934226
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMY ROE
Location Address21 MONTAUK AVENew London, CT 06320-4906
Mailing AddressPo Box 390New London, CT 06320-0390
Fax(860) 390-1463
Sole ProprietorNo
Enumeration DateSeptember 9, 2014
Last NPPES UpdateJanuary 14, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2022
NPI 1275934226 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 · 10195
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

Other Names 1

Former Name (1)Amy Faenza Lcsw

Secondary Practice Location 1

Location 11007 N Main StDayville, CT 06241-2170 · Phone (607) 742-0208 · Fax (860) 774-0826

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amy Roe 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.

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.

Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Clinical Nurse Specialist (Psychiatric/Mental Health, Geropsychiatric)
21 MONTAUK AVE
NEW LONDON, CT 06320
Counselor (Professional)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Dentist (General Practice)
21 MONTAUK AVE, SUITE 102
NEW LONDON, CT 06320

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 Amy Roe's NPI number?

The NPI number for Amy Roe is 1275934226. It was assigned to this individual provider in the NPPES registry on September 9, 2014. The provider is also known as Amy Faenza Lcsw.

Where is Amy Roe located?

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

What is Amy Roe's specialty?

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

Is Amy Roe enrolled in Medicare?

Yes. Amy Roe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Roe was last updated on January 14, 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.