Active NPI
Maritza Melendez-Williams, LCSW
- Clinical Social Worker
- New Haven, CT
National Provider Identifier
1457695629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8144
- Practice address
- 374 Grand Ave
New Haven, CT 06513-3733 - Phone
- (203) 777-7411
- Fax
- (203) 777-8506
- NPI assigned
- Nov 12, 2012
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8144 | CT | Primary |
Addresses
Primary practice location
374 Grand Ave
New Haven, CT 06513-3733
Mailing address
374 Grand Ave
New Haven, CT 06513-3733
Phone (203) 777-7411
Other names 1
- Ms. Maritza Melendez
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients |
Locations
165 Capitol Ave
Ste 2000
Hartford, CT 06106
34 Park St
North Haven, CT 06519
Phone (203) 974-7417
Organizations & group practices 2
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.
-
dba Connecticut Mental Health Center
- Psychiatric Hospital
- New Haven, CT
- NPI 1881629434
-
dba Department of Veterans' Affairs, Veterans Home
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1457695629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 GRAND AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065133733",
"telephone_number": "203-777-7411",
"fax_number": "203-777-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 GRAND AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065133733",
"telephone_number": "203-777-7411",
"fax_number": "203-777-8506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ-WILLIAMS",
"first_name": "MARITZA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-12",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "8144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARITZA",
"last_name": "MELENDEZ",
"prefix": "MS.",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.