Active NPI
Anastasia R Demaio, LMSW
- Social Worker
- Bethany, CT
National Provider Identifier
1558024448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5625
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5625 | Other | CT | CT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5625 | CT | MD | Social 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.