TANYA ELLINGWOOD – Clinical Social Worker, NPI 1114870003

TANYA ELLINGWOOD is a healthcare provider. based in Ellington, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 16397 (CT). The NPI Number for TANYA ELLINGWOOD is 1114870003

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
TANYA ELLINGWOOD
NPI
1114870003
Phone
Not provided
Address
6 PUNKIN DR
Enumeration Date
19 February 2026
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606775570
Graduation Year
2005 (21 years ago)
PAC ID
1658854302
Group Practice PAC ID
0345130563
Professional Enrollment ID
I20260311002708
Address ID
CT060321953FA270XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,151 CLINICAL SOCIAL WORKER in CT

Provider Addresses for TANYA ELLINGWOOD

  • 6 PUNKIN DR

    ELLINGTON, CT 060292232

    Phone:

    Type: Mailing

  • 270 FARMINGTON AVE STE 309

    FARMINGTON, CT 060321953

    Phone: (860) 677-5570

    Fax: (860) 677-9570

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260311002708IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06029)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345130563View full group profile
NameSpecialtyState
P S Y C H I A T R YCT
Nurse PractitionerCT
Clinical Social WorkerCT
-CT
Nurse PractitionerCT
P S Y C H I A T R YCT
Nurse PractitionerCT
Clinical PsychologistCT
Clinical PsychologistCT
P S Y C H I A T R YCT

Reviews

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Frequently asked questions

How is TANYA ELLINGWOOD identified in CMS data?
CMS-hosted NPPES data lists TANYA ELLINGWOOD with NPI 1114870003.
Can I rely on TANYA ELLINGWOOD being an active provider?
As of the registry snapshot, TANYA ELLINGWOOD is marked active.
What healthcare role does TANYA ELLINGWOOD hold?
Scheduling teams often label TANYA ELLINGWOOD under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is TANYA ELLINGWOOD based?
TANYA ELLINGWOOD is tied to Ellington, Connecticut in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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