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KENYATTA TOLBERT LCSW
NPI 1497223887
Social Worker - Clinical in Bridgeport, CT

Active since November 05, 2018PECOS EnrolledAccepts Medicare Assignment
475 CLINTON AVE, BRIDGEPORT, CT 06605(203) 368-4291(203) 368-9167 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenyatta Tolbert Lcsw NPPES

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

KENYATTA TOLBERT LCSW (NPI 1497223887) is an individual clinical provider in Bridgeport, Connecticut, licensed in Connecticut (10415) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1497223887
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENYATTA TOLBERTCredential: LCSW
Location Address475 CLINTON AVEBridgeport, CT 06605-1700
Mailing Address475 Clinton AveBridgeport, CT 06605-1700 · (203) 368-4291 · Fax (203) 368-9167
Phone(203) 368-4291
Fax(203) 368-9167
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 5, 2018
✔ NPI 1497223887 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 · 10415
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.
475 CLINTON AVE, Bridgeport, CT 06605
Open in Google Maps ↗

Other Identifiers 1

Medicaid004069985CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Kenyatta Tolbert 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 ID3375887292
PECOS Enrollment IDI20181204002461
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 06605 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.

MARCELA HAENDLER LPC
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-4291
TONYA L WILLIAMS
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-5529
BARBARA KELLY LPC
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-5515
FSW,INC.
Community/Behavioral Health
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-4291
STACY MELISSA ISHACK
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-5500
SONIA COSTA
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-4291
EDICSON OROZCO LPC
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-4291
BARBARA CUNARD LPC
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-4291

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 Kenyatta Tolbert's NPI number?

The NPI number for Kenyatta Tolbert is 1497223887. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Where is Kenyatta Tolbert located?

Kenyatta Tolbert practices at 475 Clinton Ave, Bridgeport, CT 06605. The listed phone number is (203) 368-4291.

What is Kenyatta Tolbert's specialty?

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

Is Kenyatta Tolbert enrolled in Medicare?

Yes. Kenyatta Tolbert 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.

What insurance does Kenyatta Tolbert accept?

Health plans from Providence Health Plan list Kenyatta Tolbert 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 Kenyatta Tolbert was last updated on November 5, 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.