Marcela Penaranda, MSW

Individual provider Active NPI Clinical Social Worker · Weston, CT

NPI 1902076367 · NPPES record last updated Feb 6, 2017

Key facts

NPI
1902076367
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
006043 (CT)
Practice address
20 Langner LN
Weston, CT 06883-1231
Phone
(203) 341-8891
NPI assigned
Mar 1, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
006043CTMDDental Hygienist
034108NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Psychotherapy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006043 CT Yes

Addresses

Primary practice location

20 Langner LN
Weston, CT 06883-1231

Mailing address

135 E 50TH St
Apt 106
New York, NY 10022-7517
Phone (212) 752-4596

Other providers in Weston, CT

All providers in Weston, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.