Active NPI
Melinda Hope Girardin, LCSW
- Clinical Social Worker
- Litchfield, CT
National Provider Identifier
1124312178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007548
- Practice address
- 214 S Lake St
Litchfield, CT 06759-3526 - Phone
- (860) 459-8674
- Fax
- (860) 361-6294
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 007548 | CT | Primary |
Addresses
Primary practice location
214 S Lake St
Litchfield, CT 06759-3526
Mailing address
214 S Lake St
Litchfield, CT 06759-3526
Phone (860) 459-8674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007548 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1124312178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 S LAKE ST",
"city": "LITCHFIELD",
"state": "CT",
"postal_code": "067593526",
"telephone_number": "860-459-8674",
"fax_number": "860-361-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 S LAKE ST",
"city": "LITCHFIELD",
"state": "CT",
"postal_code": "067593526",
"telephone_number": "860-459-8674",
"fax_number": "860-361-6294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRARDIN",
"first_name": "MELINDA",
"middle_name": "HOPE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "007548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.