Mark J Meola, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004480 Issued in CT

Practice address

132 Grove St
Torrington, CT 06790-5047

Phone

(860) 482-5558

Fax

(860) 489-2984

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Boston University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CT Psychological and Assessment Center LLCGroup PAC ID 6305011404, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/ccaoh/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CT Psychological & Assessment Center LLC

  • Professional Counselor
  • Wethersfield, CT
  • NPI 1326342858
  Medicare reassignment Care Compare group
• State of Connecticut

  dba Capitol Region Mental Health Center

  • Psychiatric Hospital
  • Hartford, CT
  • NPI 1487689022
  Medicare reassignment NPD
• State of Connecticut

  dba Department of Veterans' Affairs, Veterans Home

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD
• Catholic Charities, Inc. - Archdiocese of Hartford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milford, CT
  • NPI 1124112347
  NPD (past)
• Catholic Charities, Inc. - Archdiocese of Hartford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Torrington, CT
  • NPI 1669566956
  NPD (past)
• State of Connecticut

  dba Southwest Connecticut Mental Health System

  • Psychiatric Hospital
  • Bridgeport, CT
  • NPI 1720013360
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700998341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 GROVE ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905047",
            "telephone_number": "860-482-5558",
            "fax_number": "860-489-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 GROVE ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905047",
            "telephone_number": "860-482-5558",
            "fax_number": "860-489-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEOLA",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004258382",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa M Meehan, LCSW
• Roberta Meltzer, MD
• Ty Christopher Mencio
• Brandon Alexander Mendes, PHARMD
• Tracy Menta, OT
• Robin Mattiello Miasek, MSW
• Vincent J Miccoli, PA
• Tammy Lynn Michaelson, HIS
• Allen Paul Michot III, PA-C
• Alison M Milano, LCSW

• Clinical Social Worker in Torrington, CT
• Providers in Torrington, 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 Jul 8, 2007; 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.