Marcie E Dimenstein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002315 Issued in CT

Practice address

319 Evergreen Ave
Hamden, CT 06518

Phone

(203) 710-0500

Fax

(203) 680-3853

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 1984

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  CT

  Medicare reassignment NPD
• The Connection Inc.

  • Adult Mental Health Clinic/Center
  • New Haven, CT
  • NPI 1992823538
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1396701744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 EVERGREEN AVE.",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06518",
            "telephone_number": "203-710-0500",
            "fax_number": "203-680-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 EVERGREEN AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06518",
            "telephone_number": "203-710-0500",
            "fax_number": "203-680-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMENSTEIN",
        "first_name": "MARCIE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kdiana Tamara Diakhate, MFT
• Richard Diana, M.D.
• Elizabeth A Dieckman, M.D.
• Toure Diggs
• Melissa Dilauro, LMT
• Mia Christina Dioguardi, PA-C
• Jennifer Disorbo, MS, CCC/SLP
• Divine Resilience Psychotherapy LLC
• Dixwell Avenue Eyecare PLLC
• Dixwell Medical Walk in Center

• Clinical Social Worker in Hamden, CT
• Providers in Hamden, 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 26, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.