MRS. PATRICIA HEALY
NPI 1720265838
Social Worker - Clinical in East Lyme, CT
NPI Status: Active since January 31, 2008
Contact Information
15 CHESTERFIELD RD
EAST LYME, CT
ZIP 06333
Phone: (860) 460-5580
- Individual
- Female
- Years of Experience 41
- Social Worker
- Clinical
- May Accept Medicare Approved Payment
- PECOS Enrolled
About PATRICIA HEALY
This page provides the complete NPI Profile along with additional information for Patricia Healy, a provider established in East Lyme, Connecticut with a medical specialization in Social Worker, focusing in clinical and more than 41 years of experience. The healthcare provider is registered in the NPI registry with number 1720265838 assigned on January 2008. The practitioner's primary taxonomy code is 1041C0700X with license number 004993 (CT). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1720265838
- Provider Name
- MRS. PATRICIA HEALY
- Other Name
- MRS. PATRICIA ANNE HEALY LCSW
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 15 CHESTERFIELD RD EAST LYME, CT 06333
- Location Phone
- (860) 460-5580
- Mailing Address
- 15 CHESTERFIELD RD EAST LYME, CT 06333
- Mailing Phone
- (860) 460-5580
- Medical School Name
- OTHER
- Graduation Year
- 1985
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-31-2008
- Last Update Date
- 02-24-2021
- Code Navigator
A clinical social worker like Patricia Healy is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 004993
- License State
- CT
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Patricia Healy is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Patricia Healy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7012324767
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20210325001909
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06333 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $0
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.55
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $18.88
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 2 | 0 | 2 | 6 | 5 | 8 | 3 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 4 | 0 | 4 | 6 | 10 | 8 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 4 + 0 + 4 + 6 + 1 + 0 + 8 + 6 + 24 = 62 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 62 = 8 | 8 |
The NPI number 1720265838 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
M&M INDUSTRIES LLC
Durable Medical Equipment & Medical Supplies
15 CHESTERFIELD RD
FLANDERS PLAZA
EAST LYME, CT
ZIP 06333
FRED E SANTORO M.D.
Pediatrics
15 CHESTERFIELD RD
FLANDERS PLAZA, SUITE 214
EAST LYME, CT
ZIP 06333
MS. ARLENE HAVENS MSW
Social Worker
(Clinical)
15 CHESTERFIELD RD
EAST LYME, CT
ZIP 06333
CHRISTOPHER ZBIGNIEW LACHOWSKI D.C.
Chiropractor
15 CHESTERFIELD RD
SUITE 206
EAST LYME, CT
ZIP 06333
DR. JAMES EDWARD ROBSON D.D.S.
Dentist
(General Practice)
15 CHESTERFIELD RD
SUITE 208
EAST LYME, CT
ZIP 06333
CONNECTICUT CVS PHARMACY, LLC
Pharmacy
15 CHESTERFIELD RD
EAST LYME, CT
ZIP 06333
BRIAN MARK POCHAL
Pharmacist
15 CHESTERFIELD RD
EAST LYME, CT
ZIP 06333
KERRIE WINFREY
Pharmacist
15 CHESTERFIELD RD
EAST LYME, CT
ZIP 06333
KELLY MAZZULLI
Pharmacist
15 CHESTERFIELD RD
EAST LYME, CT
ZIP 06333
DR. MEGAN E GRUNWALD PHARMD
Pharmacist
15 CHESTERFIELD RD
EAST LYME, CT
ZIP 06333
DR. CHRIS APICELLI OD
Optometrist
15 CHESTERFIELD RD
EAST LYME, CT
ZIP 06333
DR. MICHAEL A. SIMEONE O.D.
Optometrist
15 CHESTERFIELD RD
EAST LYME, CT
ZIP 06333
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720265838, enumerated as an "individual" on January 31, 2008.
The provider is located at 15 CHESTERFIELD RD EAST LYME, CT 06333 and the phone number is (860) 460-5580.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.