Active NPI
Mela Dieujuste, LCSW
- Clinical Social Worker
- Enfield, CT
National Provider Identifier
1720201387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 006134
- Practice address
- 77 Hazard Ave # M2
Enfield, CT 06082-3890 - Phone
- (413) 224-8003
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006134 | CT | Primary |
Addresses
Primary practice location
77 Hazard Ave # M2
Enfield, CT 06082-3890
Mailing address
77 Hazard Ave # M2
Enfield, CT 06082-3890
Phone (413) 224-8003
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006134 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642809600000",
"number": "1720201387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 HAZARD AVE # M2",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823890",
"telephone_number": "413-224-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 HAZARD AVE # M2",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823890",
"telephone_number": "413-224-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEUJUSTE",
"first_name": "MELA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2022-01-22",
"certification_date": "2022-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "006134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.