Individual provider Active NPI

Yessica Andrea McLean, LCSW

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1063810448
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12461 Issued in CT
Practice address
1068 W Main St
Waterbury, CT 06708-2676
Phone
(617) 704-2240
NPI assigned
Dec 16, 2014
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12461 CT Primary

Addresses

Primary practice location

1068 W Main St
Waterbury, CT 06708-2676

Mailing address

1068 W Main St
Waterbury, CT 06708-2676
Phone (203) 518-4526

Other practice location 1

141 E Main St
Waterbury, CT 06702-2310
Phone (203) 574-9000

Other practice location 2

91 Northwest Dr
Plainville, CT 06062-1552
Phone (888) 793-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yguarinarias@restarthw.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Counseling LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yessica.guarinarias.p1@direct.wheelerclinic.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1063810448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082676",
            "telephone_number": "203-518-4526",
            "fax_number": "888-490-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082676",
            "telephone_number": "617-704-2240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067022310",
            "country_code": "US",
            "telephone_number": "203-574-9000",
            "fax_number": "203-574-9006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 Northwest Dr",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "CT",
            "postal_code": "060621552",
            "country_code": "US",
            "telephone_number": "888-793-3500",
            "fax_number": "203-574-9006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "YESSICA",
        "middle_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yguarinarias@restarthw.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1068 W Main St",
            "city": "Waterbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067082676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.