Doctor profile · Federal record
Dr. EDWIN TAETSCH, LCSW
Clinical Social Worker · Clinical Social Worker · NEW LONDON, CT
- NPI 1164445581
- Accepts Medicare
- 47 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
21 MONTAUK AVE
NEW LONDON, CT 063204906
(860) 439-6400
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- December 13, 2018
- Year of graduation
- 1979 — 47 yrs since
- Specialty taxonomy
- 1041C0700X — NUCC code
- State licenses (2)
- Connecticut #9037 · Missouri #2002025562
- Medicaid (3)
- MO #200912137 · CT #008065427 · MO #469004813
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164445581. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
289
Distinct HCPCS
1
Medicare allowed
$21,823
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90834 |
Psychotherapy, 45 minutes | 289 | 16 | $76 |
In context: peer comparison
Among 7 peers in this city , average services per provider: 77. This provider delivers 3.8× the peer median.