Melanie Andrea Medero, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12095 Issued in CT

Practice address

100 East Ave
Norwalk, CT 06851-5010

Phone

(203) 299-1315

NPI assigned

Mar 21, 2022

Last updated

Mar 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mid-Fairfield Child Guidance Center

  dba Child Guidance Center of Mid-Fairfield Center

  • Community/Behavioral Health Agency
  • Norwalk, CT
  • NPI 1376757872
  NPD (past)

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1073262697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 HIGH RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069053013",
            "telephone_number": "203-921-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515010",
            "telephone_number": "203-299-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDERO",
        "first_name": "MELANIE",
        "middle_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Sean McLaughlin, D.M.D.
• Jennifer Ellis McNamara, LMSW
• Donald E McNicol Jr., MD
• Amanda McShane, PHARM D
• Tara M. Meady, APRN
• Medicine Centre Hope Street LLC (Connecticut Pharmacy Medical Supply)
• Andrew Marlon Medina, LPC-A
• John R. Meehan Jr., DPT
• Margo Meeker, L.C.S.W.
• Megan Haas ND LLC

• 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 Mar 21, 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.