A Big Life LLC
Organization Active NPI Clinical Social Worker · Trumbull, CT
NPI 1245034669 · NPPES record last updated Apr 3, 2025
Key facts
- NPI
- 1245034669
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- A BIG LIFE LLC
- Practice address
- 92 Richfield Rd
Trumbull, CT 06611-3433 - Phone
- (203) 208-8541
- NPI assigned
- Apr 3, 2025
- Organization subpart
- No
Authorized official
- Name
- Mrs. Melissa Divito, LCSW
- Title
- Owner
- Phone
- (203) 208-8541
Practitioners 1
-
Melissa Milardo Divito, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260420000070 | CT | Part B Supplier - Clinic/Group Practice | 4688140445 |
Receives reassigned benefits from 1 practitioner Practice locations: Trumbull, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
92 Richfield Rd
Trumbull, CT 06611-3433
Mailing address
92 Richfield Rd
Trumbull, CT 06611-3433
Phone (860) 670-5171
Other providers in Trumbull, CT
All providers in Trumbull, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.