Active NPI
Vania Marisia Estes, MSW,LMSW
- Social Worker
- Waterbury, CT
National Provider Identifier
1619299484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 000528
- Practice address
- 141 E Main St
Home Based Services 3Rd Floor
Waterbury, CT 06702-2310 - Phone
- (203) 575-0466
- Fax
- (203) 574-1817
- NPI assigned
- Feb 22, 2010
- 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 | 000528 | CT | Primary |
Addresses
Primary practice location
141 E Main St
Home Based Services 3Rd Floor
Waterbury, CT 06702-2310
Mailing address
141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13531222 | Other | CT | CAQH |
| 008056883 | Medicaid | CT |
Other names 1
- Ms. Vania Marisia Avelino
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000528 | CT | MD | Physical Therapy Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1427074426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1619299484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"address_2": "4TH FLOOR ADMINISTRATION",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"address_2": "HOME BASED SERVICES 3RD FLOOR",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-575-0466",
"fax_number": "203-574-1817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTES",
"first_name": "VANIA",
"middle_name": "MARISIA",
"name_prefix": "Mrs.",
"credential": "MSW,LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "000528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13531222",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008056883",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VANIA",
"last_name": "AVELINO",
"middle_name": "MARISIA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.