STEPHANIE ENCARNACION LCSW
NPI 1861167611
Social Worker - Clinical in West Haven, CT

Q: What is Stephanie Encarnacion's NPI number?

The NPI number for Stephanie Encarnacion is 1861167611. It was assigned to this individual provider in the NPPES registry on August 13, 2021.

Q: What is Stephanie Encarnacion's specialty?

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

Active since August 13, 2021PECOS EnrolledAccepts Medicare Assignment

415 MAIN ST, WEST HAVEN, CT 06516(203) 931-1184 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Stephanie Encarnacion Lcsw NPPES

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

STEPHANIE ENCARNACION LCSW (NPI 1861167611) is an individual clinical provider in West Haven, Connecticut, licensed in Connecticut (11641) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1861167611

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTEPHANIE ENCARNACIONCredential: LCSW

Location Address415 MAIN STWest Haven, CT 06516-4296

Mailing Address415 Main StWest Haven, CT 06516-4296 · (203) 931-1184

Phone(203) 931-1184

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 13, 2021

NPPES CertifiedAugust 12, 2021

✔ NPI 1861167611 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 · 11641

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.

415 MAIN ST, West Haven, CT 06516

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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 and accepts Medicare assignment

Stephanie Encarnacion 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 ID6800293564

PECOS Enrollment IDI20210922001751

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 Stephanie Encarnacion reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shoreline Wellness Behavioral Health Outreach Inc

Same address

Community/Behavioral Health

415 MAIN STREET
West Haven, CT 06516

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

NPI 1144723305 (203) 931-1184

Shoreline Wellness Center, LLC.

Same address

Mental Health

415 MAIN ST
West Haven, CT 06516

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

NPI 1609177815 (203) 931-1194

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 06516 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.

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