Individual provider Active NPI

Robin Mattiello Miasek, MSW

  • Clinical Social Worker
  • Torrington, CT
National Provider Identifier
1669819645
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008710 Issued in CT
Practice address
235 Calhoun St
Torrington, CT 06790-3709
Phone
(860) 480-6465
NPI assigned
May 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 008710 CT Primary

Addresses

Primary practice location

235 Calhoun St
Torrington, CT 06790-3709

Mailing address

235 Calhoun St
Torrington, CT 06790-3709
Phone (860) 480-6465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160427002190 CT Practitioner - Clinical Social Worker 0749589661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvest Healthcare LLCGroup PAC ID 9931276979, 72 clinicians

Practice addresses (Care Compare)

21 Waterville Rd
Avon, CT 06001-2097
Phone (860) 284-0182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008710CTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Mental Health Specialists Inc Clinical CurrentSince Mar 7, 2016 Accepting new patients
Harvest Healthcare LLC Clinical CurrentSince Jan 11, 2018 Accepting new patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Mar 1, 2023 Accepting new patients
Thomaston Counseling Center Past Accepting new patients

Locations

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570

Interoperability endpoints

  • Direct secure messaging: robin.miasek.1@20304.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20304/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1669819645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CALHOUN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903709",
            "telephone_number": "860-480-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CALHOUN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903709",
            "telephone_number": "860-480-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIASEK",
        "first_name": "ROBIN",
        "middle_name": "MATTIELLO",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.