Maria H Brereton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

010732 Issued in CT

Practice address

1400 Whitney Ave
Hamden, CT 06517-2459

Phone

(203) 248-2116

Fax

(203) 287-9815

NPI assigned

Jan 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Children'S Center of Hamden, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hamden, CT
  • NPI 1215271705
  NPD (past)
• The Children'S Center of Hamden, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hamden, CT
  • NPI 1225042542
  NPD (past)

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1619516705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 SHORT BEACH RD",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065123528",
            "telephone_number": "203-980-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172459",
            "telephone_number": "203-248-2116",
            "fax_number": "203-287-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRERETON",
        "first_name": "MARIA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbrereton@tccoh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1400 Whitney Ave",
            "city": "Hamden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065172459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbrereton@tccoh.org",
            "affiliation": "N",
            "address_1": "1400 Whitney Ave",
            "city": "Hamden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065172459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mbrereton@tccoh.org",
            "affiliation": "N",
            "address_1": "1400 Whitney Ave",
            "city": "Hamden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065172459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana L Brassell, DPT
• Tamar Ranon Braverman, MD
• Matthew Brennan, LCSW
• Michelle Brennan, RPT
• Karyn Sue Brents, DC
• Brett Gerstenhaber MD LLC
• Samuel Leon Bridgers, M.D.
• Jonathan A Brier, MD
• Caroline Briggs
• Bright Days Dental LLC

• Clinical Social Worker in Hamden, CT
• Providers in Hamden, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.