Individual provider Active NPI

Mariell Deschenes, LCSW

  • Clinical Social Worker
  • Naugatuck, CT
National Provider Identifier
1316683345
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
011821 Issued in CT
Practice address
175 Church St Ste 302
Naugatuck, CT 06770-4118
Phone
(203) 723-8546
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 011821 CT Primary

Addresses

Primary practice location

175 Church St Ste 302
Naugatuck, CT 06770-4118

Mailing address

1302 Old Northfield Rd
Thomaston, CT 06787-1103
Phone (203) 631-7620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11821CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Dec 25, 2023 Accepting new patients
State of Connecticut CurrentSince Dec 25, 2023 Accepting new patients
Therapeutic Pathways Clinical PastSince May 16, 2022 Accepting new patients

Locations

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

249 Winsted Rd
Fl 3
Torrington, CT 06790
Phone (860) 496-3700

55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1316683345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 OLD NORTHFIELD RD",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871103",
            "telephone_number": "203-631-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CHURCH ST STE 302",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704118",
            "telephone_number": "203-723-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCHENES",
        "first_name": "MARIELL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

Verify at the official NPI Registry.