Mary Alice Delagrange, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005440 Issued in CT

Practice address

100 East Ave
Norwalk, CT 06851-5010

Phone

(203) 299-1315

Fax

(203) 854-6951

NPI assigned

Mar 29, 2022

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

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.

• Mid-Fairfield Child Guidance Center

  • Community/Behavioral Health Agency
  • Norwalk, CT
  • NPI 1376757872
  NPD (past)

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1619617669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 WOODLAND ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704649",
            "telephone_number": "203-723-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515010",
            "telephone_number": "203-299-1315",
            "fax_number": "203-854-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAGRANGE",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Cristopher Hernandez De Guzman, PHARMD, MSF, RPH
• Douglas John De Massa, D.C.
• Bridget Eileen Debartolomeo, RN
• Debra L. Koenig, LMFT, LLC
• Erin Patricia Del Rossi, PA
• Santo A. Delallo, DMD
• Jill C. Delaney, LCSW
• Judith Anne, Margaret Delaugere
• David B Deleo, DMD
• Katherine E Dell Goldberger, DPT

• Clinical Social Worker in Norwalk, CT
• Providers in Norwalk, 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 Mar 29, 2022; 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.