Active NPI
Medardo Ramon Urdaneta Paulino, LMSW
- Social Worker
- Cromwell, CT
National Provider Identifier
1578482014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12373
- Practice address
- 110 Court St Ste 3
Cromwell, CT 06416-1273 - Phone
- (860) 613-9930
- Fax
- (860) 613-9952
- NPI assigned
- Jul 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 132215 | NY | |
| Social Worker | 104100000X | 12373 | CT | Primary |
Addresses
Primary practice location
110 Court St Ste 3
Cromwell, CT 06416-1273
Mailing address
465 Evers St
Bridgeport, CT 06610-1304
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1578482014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 EVERS ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066101304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 COURT ST STE 3",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064161273",
"telephone_number": "860-613-9930",
"fax_number": "860-613-9952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URDANETA PAULINO",
"first_name": "MEDARDO",
"middle_name": "RAMON",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-10",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "132215",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "12373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.