Active NPI
Estephany Meliza Valerio-Negron, LCSW
- Clinical Social Worker
- Fairfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 011301
- Practice address
- 1931 Black Rock Tpke
Fairfield, CT 06825-3506 - Phone
- (203) 384-8681
- Fax
- (203) 384-0722
- NPI assigned
- Dec 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 090890 | NY | |
| Clinical Social Worker | 1041C0700X | 085406 | NY | |
| Clinical Social Worker | 1041C0700X | 011301 | CT | Primary |
Addresses
Primary practice location
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Mailing address
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04015472 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
46 Albion St
Bridgeport, CT 06605-2602
Phone (203) 332-3505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085406 | NY | MD | Social Worker |
| 090890 | NY | MD | Social Worker |
| 011301 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Care Counseling LLC | Current | Accepting new patients | |
| South-West Community Health Center, Inc | Current | Accepting new patients |
Locations
510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000
46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155
1046 Fairfield Ave
Bridgeport, CT 06605
Phone (203) 330-6054
984 Southford Rd
Middlebury, CT 06762
Phone (203) 758-2400
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bridgeport, CT
- NPI 1699703686
-
- Professional Counselor
- Middlebury, CT
- NPI 1932757515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1881025435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 BLACK ROCK TPKE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253506",
"telephone_number": "203-384-8681",
"fax_number": "203-384-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 BLACK ROCK TPKE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253506",
"telephone_number": "203-384-8681",
"fax_number": "203-384-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALERIO-NEGRON",
"first_name": "ESTEPHANY",
"middle_name": "MELIZA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-09",
"last_updated": "2023-11-02",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "090890",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "085406",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "011301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04015472",
"state": "NY"
}
],
"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 Nov 2, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.