Active NPI
Marlene Tracey Moore-Callands, LMSW
- Social Worker
- New Milford, CT
National Provider Identifier
1497240394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4062
- Practice address
- 56 Danbury Rd Ste 8
New Milford, CT 06776-3434 - Phone
- (203) 660-6422
- NPI assigned
- Jun 25, 2018
- Last updated
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 4062 | CT | Primary |
Addresses
Primary practice location
56 Danbury Rd Ste 8
New Milford, CT 06776-3434
Mailing address
57 Kohanza St
Danbury, CT 06811-4406
Phone (203) 470-2819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4062 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1497240394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 KOHANZA ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068114406",
"telephone_number": "203-470-2819",
"fax_number": "203-778-8308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 DANBURY RD STE 8",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067763434",
"telephone_number": "203-660-6422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE-CALLANDS",
"first_name": "MARLENE",
"middle_name": "TRACEY",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "4062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.