Marcy S Puklin LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARCY S PUKLIN LCSW LLC

Practice address

21 Pequot Dr
Norwalk, CT 06855-1608

Phone

(203) 858-5560

NPI assigned

Apr 21, 2022

Organization subpart

No

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

Authorized official

Name

Marcy S Puklin, LCSWNPI 1568677037

Title

Licensed Clinical Social Worker

Phone

(203) 858-5560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcy S Puklin, LCSW

  • Clinical Social Worker
  • Milford, CT
  • NPI 1568677037
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1043954530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PEQUOT DR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068551608",
            "telephone_number": "203-858-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PEQUOT DR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068551608",
            "telephone_number": "203-858-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCY S PUKLIN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "PUKLIN",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "203-858-5560",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marathon Healthcare of Norwalk
• Alison Ruth Marcell, LMSW
• Jeanne M Marconi, MD
• Cynthia Ann Marcus, D.C.
• Mary Goldstein Marcus, PH.D.
• Maren E. Cornish, LLC
• Sarah Elizabeth Margolskee, MD
• Nina Jane Marino
• Mark S. Feder, O.D.
• Megan Markelon

• Clinical Social Worker in Norwalk, CT
• Providers in Norwalk, 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 Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.