CARLY SUNDEL LCSW
NPI 1669872743
Social Worker - Clinical in Wethersfield, CT

Q: What is Carly Sundel's NPI number?

The NPI number for Carly Sundel is 1669872743. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Q: What is Carly Sundel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carly Sundel was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 26, 2014PECOS Enrolled

1177 SILAS DEANE HWY STE 3, WETHERSFIELD, CT 06109(860) 837-0401 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2024, Jun 7, 2019, Feb 21, 2019 (3 updates tracked since 2019).

On this page

About Carly Sundel Lcsw NPPES

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

CARLY SUNDEL LCSW (NPI 1669872743) is an individual clinical provider in Wethersfield, Connecticut, licensed in Connecticut (010227) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newington.

NPPES Registry Identity

NPI1669872743

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCARLY SUNDELCredential: LCSW

Location Address1177 SILAS DEANE HWY STE 3Wethersfield, CT 06109-4332

Mailing Address107g Fenn RdNewington, CT 06111-2250 · (860) 580-9883

Phone(860) 837-0401

Sole ProprietorNo

Enumeration DateAugust 26, 2014

Last NPPES UpdateMay 1, 20243 updates tracked since enumeration

NPPES CertifiedMay 1, 2024

✔ NPI 1669872743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CT · 010227✔ Licensed in CT · 10227

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.

Also ListedSocial WorkerTaxonomy 104100000X

1177 SILAS DEANE HWY STE 3, Wethersfield, CT 06109

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Other Names 1

Former Name (1)Carly Sundel

Secondary Practice Location 1

Location 1107G Fenn RdNewington, CT 06111-2250 · Phone (860) 580-9883

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Sundel 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 Reassignments

Medicare enrollment records show Carly Sundel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Reflections Counseling And Consulting Services LLC

Same address

Marriage & Family Therapist

1177 SILAS DEANE HWY STE 3
Wethersfield, CT 06109

Reassigned Medicare billing, Connecticut enrollment
9 clinicians in this Medicare group

NPI 1336518596 (608) 370-4018

Mindfulness Renewed LLC

5.2 mi

Clinical

107G FENN RD
Newington, CT 06111

Reassigned Medicare billing, Connecticut enrollment

NPI 1821841206 (860) 580-9883

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 06109 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 5

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

MARIE ELLEN GOODINE

Social Worker (Clinical)