Individual provider Active NPI

Marielle Johnson, LCSW

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1821512260
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
010590 Issued in CT
Practice address
375 Mather St Ste 1
Hamden, CT 06514-3101
Phone
(203) 601-2775
Fax
(203) 601-2775
NPI assigned
Jul 27, 2017
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 010590 CT Primary

Addresses

Primary practice location

375 Mather St Ste 1
Hamden, CT 06514-3101

Mailing address

375 Mather St Ste 1
Hamden, CT 06514-3101
Phone (203) 601-2775

Other names 1

  • Marielle Daddona 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
I20190611000816 CT Practitioner - Clinical Social Worker 1557694353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Leaf Counseling Center LLCGroup PAC ID 6709283021, 3 clinicians

Practice addresses (Care Compare)

375 Mather St
Suite 11
Hamden, CT 06514-3101
Phone (203) 601-2775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010590CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bhcare, Inc. CurrentSince May 1, 2019 Accepting new patients
New Leaf Counseling Center LLC CurrentSince Jan 2, 2021 Accepting new patients

Locations

435 E Main St
Ansonia, CT 06401
Phone (203) 736-2601

14 Sycamore Way
Branford, CT 06405
Phone (203) 483-2630

375 Mather St
#1
Hamden, CT 06514
Phone (203) 288-5266

375 Mather St
Ste 11
Hamden, CT 06514
Phone (203) 601-2775

127 Washington Ave
Ste 3W
North Haven, CT 06473

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/BHcare/r4/

Organizations & group practices 2

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": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1821512260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MATHER ST STE 1",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143101",
            "telephone_number": "203-601-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MATHER ST STE 1",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143101",
            "telephone_number": "203-601-2775",
            "fax_number": "203-601-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIELLE",
            "last_name": "DADDONA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.