Mia Ann Becton, LCSW
Individual provider Active NPI Clinical Social Worker · North Haven, CT
NPI 1689413239 · NPPES record last updated May 22, 2024
Key facts
- NPI
- 1689413239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 013274 (CT)
- Practice address
- 1 Sherwood Dr
North Haven, CT 06473-2129 - Phone
- (203) 530-8191
- NPI assigned
- May 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013274 | CT | MD | Clinical Social Worker |
| C122020001061 | CT | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current |
Accepting new patients |
Locations
100 Pearl St
Hartford, CT 06103
Phone (860) 969-1463
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | C122020001061 | CT | |
| Clinical Social Worker | 1041C0700X | 013274 | CT | Yes |
Addresses
Primary practice location
1 Sherwood Dr
North Haven, CT 06473-2129
Mailing address
1 Sherwood Dr
North Haven, CT 06473-2129
Phone (203) 530-8191
Other providers in North Haven, CT
- Belinda Barfi
- Nichole Barnes
- Daniel Battistoni
- Be Very Resilient
- Beauty From Ashes, Catholic Family Therapy, LLC
- Jason C Bedford
- Megan Elizabeth Beegan
- Behavioral Management LLC
- Moira Bell
- Benhaven Inc
All providers in North Haven, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.