Maura Wallin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11180 Issued in CT

Practice address

189 Orange St
New Haven, CT 06510-2014

Phone

(203) 937-2309

NPI assigned

Oct 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lighthouse Counseling and Intervention LLC

  • Mental Health Counselor
  • North Haven, CT
  • NPI 1285273094
  NPD
• CT Clinical Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Haven, CT
  • NPI 1497025035
  NPD (past)

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1649877754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CHRISTIAN HILL RD",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064414032",
            "telephone_number": "860-573-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102014",
            "telephone_number": "203-937-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIN",
        "first_name": "MAURA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwallin@turnbridge.com",
            "affiliation": "Y",
            "address_1": "189 Orange St",
            "city": "New Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065102014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seth Wallace, LMSW
• Rebecca Lynn Geiger Wallen, LMSW
• Nicole Waller, NP-C
• Sarah Waller, PHARMD
• Terri Lee Waller, LCSW
• Kelly Walls, PA-C
• Alyssa Marie Walraven
• Benjamin Walsh, DO
• Brooks Myrick Walsh, M.D.
• Christina K. Walsh, MD

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, 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 Nov 27, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.