Individual provider Active NPI

Monica Cretella, LCSW

  • Clinical Social Worker
  • Madison, CT
National Provider Identifier
1174768105
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006773 Issued in CT
Practice address
129 Samson Rock Dr
Unit B
Madison, CT 06443-3034
Phone
(203) 915-3777
NPI assigned
Dec 4, 2008
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006773 CT Primary

Addresses

Primary practice location

129 Samson Rock Dr
Unit B
Madison, CT 06443-3034

Mailing address

69 Redcoat LN
Guilford, CT 06437-1946

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
I20100422000304 CT Practitioner - Clinical Social Worker 8022145168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale New Haven HospitalGroup PAC ID 8325935018, 44 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-2609

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
98.16
Promoting interoperability
100
Improvement activities
40
Cost
44.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Griffin Hospital CurrentSince Jun 10, 2013 Accepting new patients
Yale New Haven Hospital CurrentSince Oct 1, 2018 Accepting new patients
DK Consultants LLC Past Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1174768105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 REDCOAT LN",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SAMSON ROCK DR",
            "address_2": "UNIT B",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433034",
            "telephone_number": "203-915-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRETELLA",
        "first_name": "MONICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.