Active NPI
Marissa McKelvie, LCSW
- Clinical Social Worker
- Naugatuck, CT
National Provider Identifier
1033922208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 58.014778
- Practice address
- 16 Hillside Ave
Naugatuck, CT 06770-4019 - Phone
- (203) 729-0341
- Fax
- (203) 723-0702
- NPI assigned
- Jan 30, 2025
- Sex
- Female
- 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 | 58.014778 | CT | Primary |
Addresses
Primary practice location
16 Hillside Ave
Naugatuck, CT 06770-4019
Mailing address
212 Hough Ave
Bridgeport, CT 06608-2819
Phone (203) 556-4399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58.014778 | CT | MD | Clinical Social Worker |
| 14778 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stokes Counseling Services LLC | Clinical | Current | Accepting new patients |
Locations
16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1033922208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 HOUGH AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066082819",
"telephone_number": "203-556-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 HILLSIDE AVE",
"city": "NAUGATUCK",
"state": "CT",
"postal_code": "067704019",
"telephone_number": "203-729-0341",
"fax_number": "203-723-0702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELVIE",
"first_name": "MARISSA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-30",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "58.014778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naugatuck, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.