Maryeleonora Walsh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7639 Issued in CT

Practice address

20 Batterson Park Rd
300
Farmington, CT 06032-4502

Phone

(860) 284-1177

Fax

(860) 284-1125

NPI assigned

Dec 21, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Nafi Connecticut Inc.

  • Clinic/Center
  • Hartford, CT
  • NPI 1619258449
  NPD (past)

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1215273172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BATTERSON PARK RD",
            "address_2": "300",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060324502",
            "telephone_number": "860-284-1177",
            "fax_number": "860-284-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BATTERSON PARK RD",
            "address_2": "300",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060324502",
            "telephone_number": "860-284-1177",
            "fax_number": "860-284-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MARYELEONORA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "7639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Wallace Jr., M.D.
• Victor Wallock, D.M.D.
• Daniel Walocha, MD
• Bridget Ann Walsh, PA
• Joseph A Walsh, MD
• Dustin M Walters, MD
• Tasia Sade Walton
• Martin Wand, M.D.
• Hailun Wang, M.D.
• Marissa Wang

• Clinical Social Worker in Farmington, CT
• Providers in Farmington, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.