Christopher Mignosa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009481 Issued in CT

Practice address

9 Business Park Dr Unit 1
Branford, CT 06405-2931

Phone

(203) 433-0299

Fax

(203) 643-2042

NPI assigned

Jun 8, 2016

Last updated

Jun 8, 2016By the provider in NPPES

Sex

Male

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

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Stony Creek Wellness Group, LLCGroup PAC ID 3072896380, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stony Creek Wellness Group, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Guilford, CT
  • NPI 1598209116

  Clinical

  Medicare reassignment Care Compare group NPD
• Shoreline Center for Family Counseling & Psychotherapy, LLC

  • Clinical Social Worker
  • Branford, CT
  • NPI 1225354988
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1215386586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BUSINESS PARK DR UNIT 1",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052931",
            "telephone_number": "203-433-0299",
            "fax_number": "203-643-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BUSINESS PARK DR UNIT 1",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052931",
            "telephone_number": "203-433-0299",
            "fax_number": "203-643-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGNOSA",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Hamilton Mendillo, DMD
• Allegra Rose Menniti, RN
• Alan Meyers, M.D.
• David Mark Meyers, LCSW
• John D Michalak, D.M.D.
• Linda Milici, MD
• Denis John Miller, MD
• Jennifer Miller
• Katy Miller, MS, LPC, NCC
• Philip A Minotti, M.D.

• Clinical Social Worker in Branford, CT
• Providers in Branford, 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 Jun 8, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.