Pamela Elizabeth Mirante, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004917 Issued in CT

Practice address

808 Stonington Rd Ste 200
Stonington, CT 06378-2517

Phone

(860) 204-6589

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mind Body Rise

  • Clinical Social Worker
  • Stonington, CT
  • NPI 1003481755
  Medicare reassignment NPD
• Riverbend Therapeutic Alliance PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wethersfield, CT
  • NPI 1629632054
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1003940917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W SHORE AVE",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063408942",
            "telephone_number": "860-916-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 STONINGTON RD STE 200",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063782517",
            "telephone_number": "860-204-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANTE",
        "first_name": "PAMELA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marco, L.AC., D.AC.
• Maura Merrill, LCSW
• Michael P Obrien MD PC
• Michelle Van Duinen Aprn PLLC
• Mind Body Rise
• Sara Moreno, MA, LPC-A
• Cheryl Leigh Mowry, MS
• Nancy C. Ferrero, LMFT, LLC
• Kathryn Marie Noonan, LCSW
• Elizabeth Nuesch, RBT

• Clinical Social Worker in Stonington, CT
• Providers in Stonington, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.