Active NPI
Annmarie Meder, LCSW
- Social Worker
- New Haven, CT
National Provider Identifier
1316355886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6685
- Practice address
- 1450 Chapel St
New Haven, CT 06511-4405 - Phone
- (203) 789-3000
- NPI assigned
- Jul 29, 2014
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6685 | CT | Primary |
Addresses
Primary practice location
1450 Chapel St
New Haven, CT 06511-4405
Mailing address
1450 Chapel St
New Haven, CT 06511-4405
Phone (203) 789-3000
Other names 1
- Annie Masselle
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 |
|---|---|---|---|
| 6685 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1316355886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114405",
"telephone_number": "203-789-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114405",
"telephone_number": "203-789-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDER",
"first_name": "ANNMARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-29",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "6685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNIE",
"last_name": "MASSELLE",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in New Haven, CT
- Borislav Meandzija, MD
- Adam Peter Mecca, M.D., PH.D.
- Marcia Cathleen Mecca, M.D.
- Christine Meche, CNM
- Rebekah C Medeiros, NP
- Hema Mahendrasinh Medhat
- Medical Center Pharmacy and Home Care Center, Inc. (Apothecary and Wellness Center)
- Medical Oncology & Hematology PC (Diagnostic Hematology Lab)
- Medical Walk in Care LLC
- Erin Medoff, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.