Marie Christine Kamercia, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005984 Issued in CT

Practice address

567 Vauxhall Street Ext
Suite 314
Waterford, CT 06385-4330

Phone

(860) 235-4816

NPI assigned

Jul 11, 2007

Last updated

Apr 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tina Kamercia Other name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1083813919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 NIANTIC RIVER RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851536",
            "telephone_number": "860-235-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 VAUXHALL STREET EXT",
            "address_2": "SUITE 314",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854330",
            "telephone_number": "860-235-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMERCIA",
        "first_name": "MARIE",
        "middle_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "005984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "KAMERCIA",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Waterford, CT
• Providers in Waterford, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.