Active NPI
Michael Momparler, MSW
- Clinical Social Worker
- Old Saybrook, CT
National Provider Identifier
1033237888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 001099
- Practice address
- 18 Reed CT
Old Saybrook, CT 06475-2533 - Phone
- (860) 388-8831
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 001099 | CT | Primary |
Addresses
Primary practice location
18 Reed CT
Old Saybrook, CT 06475-2533
Mailing address
18 Reed CT
Old Saybrook, CT 06475-2533
Phone (860) 388-8831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001099 | CT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033237888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 REED CT",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752533",
"telephone_number": "860-388-8831",
"fax_number": "203-932-5478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 REED CT",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752533",
"telephone_number": "860-388-8831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMPARLER",
"first_name": "MICHAEL",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "001099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Saybrook, CT
- MHS Primary Care Inc (Middlesex Hospital Urgent Care)
- Middlesex Hospital (Middlesex Hospital dba Middlesex Hospital Physician Services)
- Katherine Leigh Milone, PA-C
- Linda U Mixter, RPT
- Rasika M Mohan, CCC-SLP
- Krista M Monteith, LADC
- Ricardo David Morant, D.M.D.
- Miranda Rose Morman, PHARMD
- Colin Morris
- Ann Margaret Moser, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.