Myrna Ivette Vargas, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003798 Issued in CT

Practice address

415 Silas Deane Hwy
Suite 402
Wethersfield, CT 06109-2124

Phone

(860) 721-0606

Fax

(860) 721-0202

NPI assigned

Mar 19, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Hartford Psychological Services, LLC

  • Psychologist
  • Hartford, CT
  • NPI 1891989026

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1770724890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SILAS DEANE HWY",
            "address_2": "SUITE 402",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092124",
            "telephone_number": "860-721-0606",
            "fax_number": "860-721-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SILAS DEANE HWY",
            "address_2": "SUITE 402",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092124",
            "telephone_number": "860-721-0606",
            "fax_number": "860-721-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "MYRNA",
        "middle_name": "IVETTE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raisa Usifer, AUD
• Shasterin Valentin, LCSW
• Valere Counseling Center PLLC
• Kelly Vander Mass, MS OTR/L
• Lisa M Vanty, P.A.
• Nicole Varner, LCSW
• Rajeev Verma, M.D.
• Katherine Iris Vicente
• Victor Tirado MD LLC
• Mary Vidallon

• Clinical Social Worker in Wethersfield, CT
• Providers in Wethersfield, 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 Mar 19, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.