Catherine Evelyn Marzullo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003482 Issued in CT

Practice address

55 West Main Street
Suite 410 Western Connecticut Mental Health Network
Waterbury, CT 06702

Phone

(203) 805-6408

Fax

(203) 805-6432

NPI assigned

Nov 16, 2006

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 names 1

• Catherine Evelyn Miale 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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396818381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WEST MAIN STREET",
            "address_2": "SUITE 410 WESTERN CONNECTICUT MENTAL HEALTH NETWORK",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06702",
            "telephone_number": "203-805-6408",
            "fax_number": "203-805-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WEST MAIN STREET",
            "address_2": "SUITE 410 WESTERN CONNECTICUT MENTAL HEALTH NETWORK",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06702",
            "telephone_number": "203-805-6408",
            "fax_number": "203-805-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZULLO",
        "first_name": "CATHERINE",
        "middle_name": "EVELYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "MIALE",
            "middle_name": "EVELYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sondra Martinez, MS
• Jennifer Martins
• Erica J Martinucci, M.D.
• Donovan Martire, ATC, LAT
• Diana Martone, OTR/L
• Ellen Mascoli-Lanza, M.D.
• Mark Alan Mashia Jr., D.C.
• Margaret Hartner Mass, AU.D.
• Latiera Massey, LADC
• Allen O Massicotte, DDS

• Clinical Social Worker in Waterbury, CT
• Providers in Waterbury, 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 8, 2007; 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.