Individual provider Active NPI

Marlayna Andujar, LMSW

  • Social Worker
  • Danbury, CT
National Provider Identifier
1124577465
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
001919 Issued in CT
Practice address
38 Old Ridgebury Rd
Danbury, CT 06810-5128
Phone
(203) 792-4515
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 001919 CT Primary

Addresses

Primary practice location

38 Old Ridgebury Rd
Danbury, CT 06810-5128

Mailing address

18 N Pleasant Rise
Brookfield, CT 06804-2125

Other identifiers 1

IdentifierTypeStateIssuer
1174607253OtherMCCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210707003781 CT Practitioner - Clinical Social Worker 4587066980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Contemporary Care LLCGroup PAC ID 9537408141, 30 clinicians

Practice addresses (Care Compare)

81 Holly Hill LN
FL 2
Greenwich, CT 06830-6071
Phone (203) 792-0400

84 Hospital Ave
Danbury, CT 06810-6047
Phone (203) 792-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001919CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Care LLC CurrentSince Aug 15, 2021 Accepting new patients
Contemporary Care, LLC CurrentSince Aug 15, 2021 Accepting new patients

Locations

84 Hospital Ave
Danbury, CT 06810
Phone (203) 792-0400

81 Holly Hill Ln
Fl 2
Greenwich, CT 06830
Phone (203) 321-5063

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1124577465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N PLEASANT RISE",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 OLD RIDGEBURY RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105128",
            "telephone_number": "203-792-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDUJAR",
        "first_name": "MARLAYNA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "001919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCCA",
            "identifier": "1174607253",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.