Active NPI
Maria Elisa Shkreli, LCSW
- Clinical Social Worker
- Stratford, CT
National Provider Identifier
1902205875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 71 Castle Dr
Stratford, CT 06614-2933 - Phone
- (203) 443-7300
- Fax
- (203) 549-0959
- NPI assigned
- Aug 17, 2014
- Last updated
- Mar 13, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
71 Castle Dr
Stratford, CT 06614-2933
Mailing address
71 Castle Dr
Stratford, CT 06614-2933
Phone (203) 443-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 27, 2024 through Jun 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9524 | CT | MD | Mental Health Counselor |
Interoperability endpoints
- maria.shkreli.p1@direct.wheelerclinic.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1902205875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 CASTLE DR",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066142933",
"telephone_number": "203-443-7300",
"fax_number": "203-549-0959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 CASTLE DR",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066142933",
"telephone_number": "203-443-7300",
"fax_number": "203-549-0959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHKRELI",
"first_name": "MARIA",
"middle_name": "ELISA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-17",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.