Marissa Perrelli Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007056 Issued in CT

Practice address

595 Thompson Ave
East Haven, CT 06512-2934

Phone

(203) 468-3297

Fax

(203) 468-3334

NPI assigned

Jun 10, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Marissa Anna Perrelli Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1316173941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 MONTICELLO DR",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054168",
            "telephone_number": "203-506-5692",
            "fax_number": "203-468-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 THOMPSON AVE",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122934",
            "telephone_number": "203-468-3297",
            "fax_number": "203-468-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARISSA",
        "middle_name": "PERRELLI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004051652",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "PERRELLI",
            "middle_name": "ANNA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Priyamvada R Borua, LPCA
• Julie Bossenberry, AU.D.
• Matthew Brancati, D.M.D.
• Patrick J Brennan, RPH
• Jennifer Joan Breton, R.D.H.
• Rayven Brown, BCBA, LBA-CT
• Jaime M Buley
• Nicole Burman, LCSW
• Brittany Marie Busco, LPC
• Scott G Cameron, PT

• Clinical Social Worker in East Haven, CT
• Providers in East Haven, 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 Jul 21, 2014; 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.