Individual provider Active NPI

Marisa Giaccotto, LCSW

  • Clinical Social Worker
  • Plainville, CT
National Provider Identifier
1881082345
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006924 Issued in CT
Practice address
74 East St
Suite 102 a
Plainville, CT 06062
Phone
(860) 793-3868
NPI assigned
Jan 6, 2015
Last updated
Jun 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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 006924 CT Primary

Addresses

Primary practice location

74 East St
Suite 102 a
Plainville, CT 06062

Mailing address

270 John Downey Drive
New Britain, CT 06051-2906
Phone (860) 826-1358

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
I20160609000661 CT Practitioner - Clinical Social Worker 2567752173 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6924CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jun 1, 2025 Accepting new patients
Midstate Medical Center Current Accepting new patients
Midstate Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Midstate Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Jul 14, 2025 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Jul 14, 2025 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jun 1, 2025 Accepting new patients

Locations

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

Interoperability endpoints

  • Direct secure messaging: marisa.giaccotto.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 7

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1881082345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 JOHN DOWNEY DRIVE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512906",
            "telephone_number": "860-826-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 EAST ST",
            "address_2": "SUITE 102 A",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "06062",
            "telephone_number": "860-793-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACCOTTO",
        "first_name": "MARISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.