Active NPI
Marissa Belanger
- Clinical Social Worker
- Enfield, CT
National Provider Identifier
1053723205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121986
- Practice address
- 5 Valley View Cir
Enfield, CT 06082-3926 - Phone
- (978) 501-5099
- NPI assigned
- May 22, 2014
- Last updated
- Nov 1, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 121986 | MA | Primary |
Addresses
Primary practice location
5 Valley View Cir
Enfield, CT 06082-3926
Mailing address
5 Valley View Cir
Enfield, CT 06082-3926
Phone (978) 501-5099
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121986 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1053723205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 VALLEY VIEW CIR",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823926",
"telephone_number": "978-501-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 VALLEY VIEW CIR",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823926",
"telephone_number": "978-501-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELANGER",
"first_name": "MARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-22",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "121986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.