STEPHANIE TATE
NPI 1629730759
Social Worker - Clinical in Putnam, CT

Active since October 06, 2021PECOS EnrolledAccepts Medicare Assignment
391 POMFRET ST, PUTNAM, CT 06260(860) 731-5522(860) 731-5536 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2025, Oct 6, 2021 (2 updates tracked since 2021).

About Stephanie Tate NPPES

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

STEPHANIE TATE (NPI 1629730759) is an individual clinical provider in Putnam, Connecticut, licensed in Connecticut (15918) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629730759
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIE TATE
Location Address391 POMFRET STPutnam, CT 06260-1852
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 731-5522 · Fax (860) 731-5536
Fax(860) 731-5536
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 6, 2021
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1629730759 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 · 15918
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.
391 POMFRET ST, Putnam, CT 06260

Secondary Practice Locations 2

Location 1132 Mansfield AveWillimantic, CT 06226-2027 · Phone (860) 465-3490
Location 2326 Washington StNorwich, CT 06360-2740 · Phone (860) 823-6321

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

Stephanie Tate 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 ID5496240491
PECOS Enrollment IDI20251217002473
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 06260 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.

Counselor (Addiction (Substance Use Disorder))
391 POMFRET ST
PUTNAM, CT 06260
Licensed Practical Nurse
391 POMFRET ST
PUTNAM, CT 06260
Counselor
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260

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 Stephanie Tate's NPI number?

The NPI number for Stephanie Tate is 1629730759. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Stephanie Tate located?

Stephanie Tate practices at 391 Pomfret St, Putnam, CT 06260. The listed phone number is (860) 731-5522.

What is Stephanie Tate's specialty?

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

Is Stephanie Tate enrolled in Medicare?

Yes. Stephanie Tate 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 Stephanie Tate was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.