Stacy Demarco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006755 Issued in CT

Practice address

20 Tuttle PL
Middletown, CT 06457-1870

Phone

(860) 302-9817

NPI assigned

Aug 26, 2016

Last updated

Aug 26, 2016By the provider in NPPES

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)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: stacy.demarco.p1@direct.wheelerclinic.nextgenshare.com

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1659827178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 KNOLL RIDGE CT",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572145",
            "telephone_number": "860-302-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TUTTLE PL",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571870",
            "telephone_number": "860-302-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "STACY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Ann Delisle, CRNA
• Danielle F Dell'Oso, OTR/L
• Sage Delucia
• Ronald Demakovsky, PHD
• Rachel Demarco, APRN
• Kathleen A Demino, LCSW
• Deanna Dennis, RDH
• Dental Sleep Medicine of Central Connecticut, LLC
• Dentistryone of Connecticut Derek Weigand PC
• Suelen Deoliveira, APRN

• Clinical Social Worker in Middletown, CT
• Providers in Middletown, 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 Aug 26, 2016; 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.