Individual provider Active NPI

Marilyn Dolcetti, LCSW

  • Clinical Social Worker
  • Stratford, CT
National Provider Identifier
1295891273
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004750 Issued in CT
Practice address
80 Ferry Blvd
Suite 204
Stratford, CT 06615
Phone
(203) 378-1654
Fax
(203) 380-9169
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 004750 CT Primary

Addresses

Primary practice location

80 Ferry Blvd
Suite 204
Stratford, CT 06615

Mailing address

55 Noroton Ave
Darien, CT 06820
Phone (203) 655-9481

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004750CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295891273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NOROTON AVE",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "06820",
            "telephone_number": "203-655-9481",
            "fax_number": "203-655-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FERRY BLVD",
            "address_2": "SUITE 204",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06615",
            "telephone_number": "203-378-1654",
            "fax_number": "203-380-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLCETTI",
        "first_name": "MARILYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.