Individual provider Active NPI

Michele Soares Valente, LCSW

  • Clinical Social Worker
  • Fairfield, CT
National Provider Identifier
1699837765
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6878 Issued in CT
Practice address
1506 Post Rd
Fairfield, CT 06824-5916
Phone
(475) 999-2180
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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 6878 CT Primary

Addresses

Primary practice location

1506 Post Rd
Fairfield, CT 06824-5916

Mailing address

95 Robert Treat Dr Apt B
Milford, CT 06460-8342
Phone (203) 232-5395

Other practice location 1

415 Boston Post Rd Ste 3-1136
Milford, CT 06460-2578
Phone (475) 999-2180

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6878CTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michele S Valente, LLC Clinical CurrentSince Dec 12, 2021 Accepting new patients

Locations

1506 Post Rd
Fairfield, CT 06824
Phone (203) 256-9992

Organizations & group practices 1

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1699837765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ROBERT TREAT DR APT B",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064608342",
            "telephone_number": "203-232-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245916",
            "telephone_number": "475-999-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Boston Post Rd Ste 3-1136",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064602578",
            "country_code": "US",
            "telephone_number": "475-999-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTE",
        "first_name": "MICHELE",
        "middle_name": "SOARES",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "6878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.