Active NPI
Mary Patricia Dunleavy, LMSW
- Social Worker
- Norwalk, CT
National Provider Identifier
1629573373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11917694
- Practice address
- 50 Washington St
Norwalk, CT 06854-2710 - Phone
- (203) 216-6266
- NPI assigned
- Mar 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 11917694 | CT | Primary |
Addresses
Primary practice location
50 Washington St
Norwalk, CT 06854-2710
Mailing address
46 Judd St
Fairfield, CT 06824-3512
Phone (203) 216-6266
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 |
|---|---|---|---|
| 11917694 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1629573373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 JUDD ST",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068243512",
"telephone_number": "203-216-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WASHINGTON ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068542710",
"telephone_number": "203-216-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLEAVY",
"first_name": "MARY",
"middle_name": "PATRICIA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "11917694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.