Individual provider Active NPI

Marybeth Metelski, LCSW

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1336223486
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006321 Issued in CT
Practice address
84 Hospital Ave
Danbury, CT 06810-6021
Phone
(203) 792-6060
Fax
(203) 794-9556
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

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 006321 CT Primary

Addresses

Primary practice location

84 Hospital Ave
Danbury, CT 06810-6021

Mailing address

84 Hospital Ave
Danbury, CT 06810-6021
Phone (203) 792-6060

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061207000137 CT Practitioner - Clinical Social Worker 0042219784 Practice locations: Wilton, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

940 Danbury Rd
Wilton, CT 06897-4909
Phone (914) 588-2469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006321CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CPC Associates Inc Past Accepting new patients

Organizations & group practices 1

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336223486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106021",
            "telephone_number": "203-792-6060",
            "fax_number": "203-794-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106021",
            "telephone_number": "203-792-6060",
            "fax_number": "203-794-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METELSKI",
        "first_name": "MARYBETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.