Organization Active NPI

MRK Counseling & Wellness, LLC

  • Clinical Social Worker
  • Fairfield, CT
National Provider Identifier
1740674902
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8048 Issued in CT
Legal business name
MRK COUNSELING & WELLNESS, LLC
Practice address
301 Commerce Dr
Fairfield, CT 06825-5535
Phone
(203) 727-4928
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Meghan Komaromi, LCSW
Title
Member
Phone
(203) 727-4928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 8048 CT Primary

Addresses

Primary practice location

301 Commerce Dr
Fairfield, CT 06825-5535

Mailing address

270 Monroe Turnpike #148
Monroe, CT 06468-7006
Phone (203) 727-4928

National Provider Directory

National Provider Directory

Locations

301 Commerce Dr
Fairfield, CT 06825
Phone (203) 727-4928

270 Monroe Tpke
Unit 148
Monroe, CT 06468

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1740674902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MONROE TURNPIKE #148",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064687006",
            "telephone_number": "203-727-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 COMMERCE DR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068255535",
            "telephone_number": "203-727-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRK COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "KOMAROMI",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-727-4928",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8048",
            "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 Apr 3, 2015; 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.