Individual provider Active NPI

Anastasia R Demaio, LMSW

  • Social Worker
  • Bethany, CT
National Provider Identifier
1558024448
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5625 Issued in CT
Practice address
46 Rolling Green Rd
Bethany, CT 06524-3321
Phone
(203) 909-0627
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5625 CT Primary

Addresses

Primary practice location

46 Rolling Green Rd
Bethany, CT 06524-3321

Mailing address

46 Rolling Green Rd
Bethany, CT 06524-3321
Phone (203) 909-0627

Other identifiers 1

IdentifierTypeStateIssuer
5625OtherCTCT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address griffin-medicalrecords@direct-access.net The Griffin Hospital

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

LicenseStateTypeSpecialty
5625CTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1558024448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ROLLING GREEN RD",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243321",
            "telephone_number": "203-909-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 ROLLING GREEN RD",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243321",
            "telephone_number": "203-909-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAIO",
        "first_name": "ANASTASIA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "5625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "5625",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "griffin-medicalrecords@direct-access.net",
            "affiliation": "Y",
            "affiliationName": "The Griffin Hospital",
            "address_1": "130 Division St",
            "city": "Derby",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064181326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethany, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.