Individual provider Active NPI

Maryjoan Picone, LCSW

  • Clinical Social Worker
  • Manchester, CT
National Provider Identifier
1609000470
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003071 Issued in CT
Practice address
935 Main St
Suite 303
Manchester, CT 06040-6059
Phone
(860) 647-2929
Fax
(860) 647-2932
NPI assigned
May 8, 2009
Last updated
May 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 003071 CT
Clinical Social Worker 1041C0700X 003071 CT Primary

Addresses

Primary practice location

935 Main St
Suite 303
Manchester, CT 06040-6059

Mailing address

20 Hartford Rd
2ND FLR.
Manchester, CT 06040-5973
Phone (860) 647-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041210000036 CT Practitioner - Clinical Social Worker 2769449875 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003071CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Resources, Inc. CurrentSince Jan 11, 2016 Accepting new patients
The Village for Families & Children, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince May 19, 2015 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince May 19, 2015 Accepting new patients
New Hope Manor, Inc Past Accepting new patients

Locations

153 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5020

1680 Albany Ave
Hartford, CT 06105
Phone (860) 236-4511

21 Grand St
Hartford, CT 06106

331 Wethersfield Ave
Hartford, CT 06114
Phone (860) 236-4511

2 Waterside Xing
Ste 401
Windsor, CT 06095

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1609000470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HARTFORD RD",
            "address_2": "2ND FLR.",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405973",
            "telephone_number": "860-647-2929",
            "fax_number": "860-647-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MAIN ST",
            "address_2": "SUITE 303",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406059",
            "telephone_number": "860-647-2929",
            "fax_number": "860-647-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICONE",
        "first_name": "MARYJOAN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "003071",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.