MC DIAGNOSTIC OF CONNECTICUT, P.C.
NPI 1831857861
Social Worker - Clinical in Old Saybrook, CT

NPI Status: Active since December 07, 2021

Contact Information

519 BOSTON POST RD
OLD SAYBROOK, CT
ZIP 06475
Phone: (855) 417-2486

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  • Organization
  • Social Worker
  • Clinical
  • Accepts Insurance
  • CLIA Number: 07D2222446
  • CLIA Cert. Type: Other - LMT. SERV. HEALTH CLINIC
  • CLIA Exp. Date: 04-28-2027

About MC DIAGNOSTIC OF CONNECTICUT, P.C.

This page provides the complete NPI Profile along with additional information for Mc Diagnostic Of Connecticut, P.c., a provider established in Old Saybrook, Connecticut operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1831857861 assigned on December 2021. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Deborah Jean Pincince (Administrator)

NPI
1831857861
Provider Name
MC DIAGNOSTIC OF CONNECTICUT, P.C.
Entity Type
Organization
Location Address
519 BOSTON POST RD OLD SAYBROOK, CT 06475
Location Phone
(855) 417-2486
Mailing Address
PO BOX 772 MC2295 WOONSOCKET, RI 02895
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-07-2021
Last Update Date
12-07-2021
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A clinical social worker like Mc Diagnostic Of Connecticut, P.c. 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.

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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
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
  • Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
  • BannerAetna Bronze 2 HSA: No PCP required + 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental +Vision - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Silver 5: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBORAH JEAN PINCINCE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(401) 770-3813

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D2222446
Facility Type
Other - LMT. SERV. HEALTH CLINIC
Certificate Effective Date
April 29, 2025
Certificate Expiration Date
April 28, 2027
Laboratory Director
SUSAN ELLES APRN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mc Diagnostic Of Connecticut, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MC DIAGNOSTIC OF CONNECTICUT, P.C.

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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.
1831857861
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
286116514812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 6 + 5 + 1 + 4 + 8 + 1 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1831857861 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073617981CONNECTICUT CVS PHARMACY LLC
Organization
Pharmacy519 BOSTON POST RD
OLD SAYBROOK, CT 06475
(860) 388-1045
1295196129MR. RICHARD ROTH RPH
Individual
Pharmacist519 BOSTON POST RD
OLD SAYBROOK, CT 06475
(860) 388-1045
1922460708DR. ELIZABETH ST. LOUIS PHARMD
Individual
Pharmacist519 BOSTON POST RD
OLD SAYBROOK, CT 06475
(860) 388-1045
1659735264 PETER ELMAN RPH,PD
Individual
Pharmacist519 BOSTON POST RD
OLD SAYBROOK, CT 06475
(860) 388-1045
1871040618 KAYLA CHOUINARD PHARM.D.
Individual
Pharmacist519 BOSTON POST RD
OLD SAYBROOK, CT 06475
(860) 388-1145
1285185504DR. NICOLE VICTORIA HODGDON PHARM.D.
Individual
Pharmacist519 BOSTON POST RD
OLD SAYBROOK, CT 06475
(860) 388-1045
1194392605 SOMMAR VICTORIA OTFINOSKI
Individual
Nurse Practitioner (Family)519 BOSTON POST RD
OLD SAYBROOK, CT 06475
(860) 377-1145
1649645292MS. ANN KABZA FNP-C
Individual
Nurse Practitioner (Family)519 BOSTON POST RD
OLD SAYBROOK, CT 06475
(860) 388-1145
1871373159DR. TESSA ALEXANDRA AMATO PHARMD, RPH
Individual
Pharmacist519 BOSTON POST RD
OLD SAYBROOK, CT 06475
(860) 388-1045
1558038836 MADELINE TEIXEIRA LCSW
Individual
Social Worker (Clinical)519 BOSTON POST RD
OLD SAYBROOK, CT 06475
(860) 388-1145
1083347363 MARY-KATHERINE LOUETTA PERALEZ LPC, LMHC, LCPC
Individual
Counselor (Professional)519 BOSTON POST RD
OLD SAYBROOK, CT 06475
(860) 471-7896

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831857861, enumerated in the NPI registry as an "organization" on December 07, 2021

The provider is located at 519 Boston Post Rd Old Saybrook, Ct 06475 and the phone number is (855) 417-2486

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider might be accepting Accepts: Aetna CVS Health and BannerAetna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 07D2222446 for a "other - lmt. serv. health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 07, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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