Individual provider Active NPI

Maria Socci Mercado, LCSW

  • Clinical Social Worker
  • Stratford, CT
National Provider Identifier
1730457128
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005506 Issued in CT
Practice address
2900 Main St
Suite 1D
Stratford, CT 06614-4946
Phone
(203) 378-0092
NPI assigned
Dec 13, 2011
Last updated
May 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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 005506 CT Primary

Addresses

Primary practice location

2900 Main St
Suite 1D
Stratford, CT 06614-4946

Mailing address

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

Other names 1

  • Maria Socci Former name

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
I20120801000264 CT Practitioner - Clinical Social Worker 5698931970 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Southern Connecticut Christian Counseling CenterGroup PAC ID 9133266109, 9 clinicians

Practice addresses (Care Compare)

8 Wakeman Rd
Fairfield, CT 06824-5120
Phone (203) 255-5078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005506CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates Inc. CurrentSince Jul 1, 2012 Accepting new patients
Rehabilitation Associates, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Wellness Center of Oxford CurrentSince Aug 1, 2019 Accepting new patients
Southern Connecticut Christian Counseling Center Clinical CurrentSince Aug 6, 2023 Accepting new patients

Locations

1931 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 332-4363

8 Wakeman Rd
Fairfield, CT 06824
Phone (203) 255-5078

350 Center Rock Grn
Ste 9
Oxford, CT 06478
Phone (203) 951-1858

4 Corporate Dr
Ste 186
Shelton, CT 06484
Phone (203) 327-4444

555 Bridgeport Ave
Shelton, CT 06484
Phone (203) 550-2755

2900 Main St
Ste 1D
Stratford, CT 06614
Phone (203) 378-0092

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1730457128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253506",
            "telephone_number": "203-384-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MAIN ST",
            "address_2": "SUITE 1D",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144946",
            "telephone_number": "203-378-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "MARIA",
        "middle_name": "SOCCI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "SOCCI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stratford, CT

Sources for this page

Verify at the official NPI Registry.