Janice M Mahieu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005474 Issued in CT

Practice address

30 Ferry Blvd Ste 2
Stratford, CT 06615-6016

Phone

(203) 375-5782

Fax

(203) 375-3048

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Personal Growth Concepts, Inc.

  • Clinical Social Worker
  • Stratford, CT
  • NPI 1104850353
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1003963620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 MAIN ST STE 231",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155839",
            "telephone_number": "203-375-5782",
            "fax_number": "203-375-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FERRY BLVD STE 2",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156016",
            "telephone_number": "203-375-5782",
            "fax_number": "203-375-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHIEU",
        "first_name": "JANICE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Louis, RN
• Carla Y. Loxsom, M. ED
• David Luo
• Kathryn Maccarone
• Macyop LLC
• Mak Wellness Solutions LLC
• Eric Joseph Maldonado Marrero, MD
• Bobby A Malik, MD
• Ronald Joseph Malyska, RPH
• Cherie Mandel-Reichgut, MSW

• Clinical Social Worker in Stratford, CT
• Providers in Stratford, 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 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.