Stephen R Machattie

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008950 Issued in CT

Practice address

843 Main St Ste 11
Manchester, CT 06040

Phone

(860) 643-8870

NPI assigned

Oct 12, 2015

Last updated

Aug 29, 2023By 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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Charter Oak Family Center LLC

  • Clinical Social Worker
  • Manchester, CT
  • NPI 1538622618
  Authorized official Same address or phone

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1306217765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 MAIN ST STE 11",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406041",
            "telephone_number": "860-643-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 MAIN ST STE 11",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-643-8870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1177 Silas Deane Hwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Wethersfield",
            "state": "CT",
            "postal_code": "061094332",
            "country_code": "US",
            "telephone_number": "860-474-3733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHATTIE",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ginger@charteroakhealthcenter.com",
            "affiliation": "N",
            "endpointDescription": "Office Contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "843 Main St Ste 11",
            "city": "Manchester",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marcella A Macdonald, D.P.M.
• Sarah Anne Macdonald, LCSW
• Scott Macglaflin, MSW
• Jessica Macgovern
• Meagan Macgregor
• Debra S Macht, L.P.C.
• Joanne Mack, OT
• Kevin Patrick Mackrell
• Michelle Maclagan, CAC
• Courtney Leigh Macneill, LMSW

• Clinical Social Worker in Manchester, CT
• Providers in Manchester, 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 Aug 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.