Mary Beth Sutter, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005170 Issued in CT

Legal business name

MARY BETH SUTTER, LCSW, LLC

Practice address

1 Bradley Rd
Suite 205
Woodbridge, CT 06525-2285

Phone

(203) 397-7973

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mary E Womer, LCSW

Title

Owner

Phone

(203) 397-7973

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760570980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRADLEY RD",
            "address_2": "SUITE 205",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252285",
            "telephone_number": "203-397-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRADLEY RD",
            "address_2": "SUITE 205",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252285",
            "telephone_number": "203-397-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BETH SUTTER, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOMER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-397-7973",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marcinko, MOTR/L
• Veronica Marer, MD
• Jennifer Marie Martin
• Michelle Lynne Martin, OTR/L
• Kristina L Martini, OTR/L
• Kaitlynn Ann Mascia
• Nicole Masciarelli, MS, SLP
• Mark Mattie, M.D.
• Jodi Mazaleski, BCBA
• Irene McKenna

• Clinical Social Worker in Woodbridge, CT
• Providers in Woodbridge, 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 Aug 22, 2020; 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.