Melissa Milardo Divito, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12273 Issued in CT

Practice address

92 Richfield Rd
Trumbull, CT 06611-3433

Phone

(203) 208-8541

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Practice roles

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.

• A Big Life LLC

  • Clinical Social Worker
  • Trumbull, CT
  • NPI 1245034669

  Clinical, CT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1164064614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 RICHFIELD RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113433",
            "telephone_number": "203-208-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 RICHFIELD RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113433",
            "telephone_number": "203-208-8541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Capital Blvd",
            "address_purpose": "LOCATION",
            "city": "Rocky Hill",
            "state": "CT",
            "postal_code": "060673576",
            "country_code": "US",
            "telephone_number": "860-221-0255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIVITO",
        "first_name": "MELISSA",
        "middle_name": "MILARDO",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "494",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Zaffina LMFT,LLC
• Michael Victor Dias, ATC/ LAT
• Catherine Joy Diehl, MS, CNS
• Marcy B Dillon, M.D.
• Divine Relevance LLC
• Aaron Matthew Dommu, M.D.
• Donald J. Austrian MD PC
• Kelli Donovan-Wright, M.D.
• Arnold Dorosario, M.D.
• Adrianna Christine Dorsey

• All providers in Trumbull, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.