Organization Active NPI

Michael Miarecki Counseling LLC

  • Clinical Social Worker
  • Middletown, CT
National Provider Identifier
1497252134
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008271 Issued in CT
Legal business name
MICHAEL MIARECKI COUNSELING LLC
Practice address
363 Main St Ste 311
Middletown, CT 06457-3359
Phone
(203) 892-6694
NPI assigned
Apr 10, 2018
Last updated
Apr 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Mr. Michael Paul Miarecki, LCSWNPI 1821426149
Title
Owner
Phone
(203) 892-6694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 008271 CT Primary

Addresses

Primary practice location

363 Main St Ste 311
Middletown, CT 06457-3359

Mailing address

10-18 Forest Glen Cir
Middletown, CT 06457-6669
Phone (860) 748-2535

National Provider Directory

National Provider Directory

Locations

363 Main St
Ste 311
Middletown, CT 06457
Phone (203) 892-6694

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1497252134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10-18 FOREST GLEN CIR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064576669",
            "telephone_number": "860-748-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 MAIN ST STE 311",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573359",
            "telephone_number": "203-892-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MIARECKI COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "MIARECKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-892-6694",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.