Individual provider Active NPI

Stacey L. Martwinski-Nardozzi, MSW

  • Clinical Social Worker
  • Wallingford, CT
National Provider Identifier
1831470210
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008627 Issued in CT
Practice address
Soul Friends 300 Church St
Suite 105
Wallingford, CT 06492-2253
Phone
(203) 679-0849
Fax
(203) 679-0348
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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 008627 CT Primary

Addresses

Primary practice location

Soul Friends 300 Church St
Suite 105
Wallingford, CT 06492-2253

Mailing address

Soul Friends 300 Church St
Suite 105
Wallingford, CT 06492-2253
Phone (203) 679-0849

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
I20150212000304 CT Practitioner - Clinical Social Worker 0547585614 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Health Center for Counseling and Learning LLCGroup PAC ID 8729313135, 27 clinicians

Practice addresses (Care Compare)

984 Southford Rd
Middlebury, CT 06762-3234
Phone (203) 758-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008627CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte Hungerford Hospital CurrentSince Dec 15, 2014 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jan 10, 2025 Accepting new patients
Behavioral Health Center for Counseling & Learning, LLC CurrentSince Sep 1, 2020 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Dec 15, 2014 Accepting new patients
Compassionate Care Counseling LLC CurrentSince Feb 7, 2021 Accepting new patients
Soul Friends, Inc Clinical PastSince Nov 1, 2020 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

984 Southford Rd
Middlebury, CT 06762
Phone (203) 758-2400

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1831470210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUL FRIENDS 300 CHURCH ST",
            "address_2": "SUITE 105",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922253",
            "telephone_number": "203-679-0849",
            "fax_number": "203-679-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUL FRIENDS 300 CHURCH ST",
            "address_2": "SUITE 105",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922253",
            "telephone_number": "203-679-0849",
            "fax_number": "203-679-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTWINSKI-NARDOZZI",
        "first_name": "STACEY",
        "middle_name": "L.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.