Michelle Marie Wortham, LCSW in Newington, CT - Medicare Social Worker Provider

Michelle Marie Wortham, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Newington, Connecticut. Her current practice location is 171 Market Sq Ste 206a, Newington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 845-1503.

Michelle Marie Wortham is licensed to practice in Connecticut (license number 10836) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316584956.

Contact Information

	Michelle Marie Wortham, LCSW
	171 Market Sq Ste 206a, Newington, CT 06111-2930
	(860) 845-1503
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Marie Wortham
Gender	Female
Speciality	Social Worker - Clinical
Location	171 Market Sq Ste 206a, Newington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316584956
Provider Enumeration Date: 12/02/2019
Last Update Date: 02/04/2025

Medicare PECOS Information:

PECOS PAC ID: 5294116943
Enrollment ID: I20220713001372

Medical Identifiers

Medical identifiers for Michelle Marie Wortham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316584956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	10836 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Marie Wortham allows following entities to bill medicare on her behalf.

Entity Name	New Provenance Counseling Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457949687 PECOS PAC ID: 3476934126 Enrollment ID: O20220713001166

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Marie Wortham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Michelle Marie Wortham, LCSW 171 Market Sq Ste 206a, Newington, CT 06111-2930 Ph: (860) 845-1503	Michelle Marie Wortham, LCSW 171 Market Sq Ste 206a, Newington, CT 06111-2930 Ph: (860) 845-1503

Reviews and Comments

Social Worker in Newington, CT

Jadien Londin Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1632 Willard Ave, Newington, CT 06111 Phone: 860-810-4868
Ms. Adrienne Benjamin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1268 Main St, Suite 101, Newington, CT 06111 Phone: 860-667-9498 Fax: 860-667-2408
Mr. Vincent Michael Sapone, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 74 Edmund St, Newington, CT 06111 Phone: 860-505-5300
Aimee Zagaja, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 171 Market Sq Ste 206a, Newington, CT 06111 Phone: 860-916-3003
Mollie Rose Churchill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Willard Ave, Newington, CT 06111 Phone: 917-202-0603
Jennifer Elizabeth Mitton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Willard Ave, Hud Vash-jennifer Mitton, Newington, CT 06111 Phone: 203-919-0247
Dr. Mitchell Kenneth Page, DSW, ACSW,LCSW,BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 39 Market Sq Ste 2, Newington, CT 06111 Phone: 860-841-2559 Fax: 860-371-3488

Michelle Marie Wortham, LCSW - Medicare Clinical Social Worker in Newington, CT