Active NPI
Medina Cecunjanin
- Clinical Social Worker
- Stamford, CT
National Provider Identifier
1598437808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 012765
- Practice address
- 1177 High Ridge Rd Ste 102
Stamford, CT 06905-1221 - Phone
- (203) 515-7227
- NPI assigned
- Oct 5, 2021
- Last updated
- Feb 21, 2025
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 012765 | CT | Primary |
Addresses
Primary practice location
1177 High Ridge Rd Ste 102
Stamford, CT 06905-1221
Mailing address
1177 High Ridge Rd Ste 102
Stamford, CT 06905-1221
Phone (203) 515-7227
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 |
|---|---|---|---|
| 012765 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1598437808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 HIGH RIDGE RD STE 102",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069051221",
"telephone_number": "203-515-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 HIGH RIDGE RD STE 102",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069051221",
"telephone_number": "203-515-7227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECUNJANIN",
"first_name": "MEDINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-05",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "012765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
- Casey Catalano, MSPT
- Sarah Patricia Cate, MD
- Catholic Charities of Fairfield County, Inc.
- Susan L Cavanaugh, PT
- Lisa Cayer, PT
- Carol W. Cederbaum, MSW, LCSW
- Celebrating Children
- Center for Continuing Care of Greater Stamford, Inc (The William and Sally Tandet Center for Continuing Care)
- Center for Social Enrichment and Educational Development, LLC
- Center for Vein Restoration CT LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.