Active NPI
Maureen Anne McElaney, LCSW
- Clinical Social Worker
- Bridgeport, CT
National Provider Identifier
1285806117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004277
- Practice address
- 1635 Central Avenue
Southwest CT Mental Health Systems
Bridgeport, CT 06610 - Phone
- (203) 551-7660
- Fax
- (203) 551-7481
- NPI assigned
- Apr 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004277 | CT | Primary |
Addresses
Primary practice location
1635 Central Avenue
Southwest CT Mental Health Systems
Bridgeport, CT 06610
Mailing address
1635 Central Avenue
Southwest CT Mental Health Systems
Bridgeport, CT 06610
Phone (203) 551-7660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004277 | CT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tree of Life Counseling LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Norwalk, CT
- NPI 1447928502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1285806117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 CENTRAL AVENUE",
"address_2": "SOUTHWEST CT MENTAL HEALTH SYSTEMS",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06610",
"telephone_number": "203-551-7660",
"fax_number": "203-551-7481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 CENTRAL AVENUE",
"address_2": "SOUTHWEST CT MENTAL HEALTH SYSTEMS",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06610",
"telephone_number": "203-551-7660",
"fax_number": "203-551-7481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELANEY",
"first_name": "MAUREEN",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "004277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.