Active NPI
Yessica Andrea McLean, LCSW
- Clinical Social Worker
- Waterbury, CT
National Provider Identifier
1063810448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12461
- Practice address
- 1068 W Main St
Waterbury, CT 06708-2676 - Phone
- (617) 704-2240
- NPI assigned
- Dec 16, 2014
- Last updated
- Nov 9, 2022
- 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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariposa Counseling LLC | Current | Accepting new patients |
Interoperability endpoints
- 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.
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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.