Active NPI
Marisa Mohrer, LCSW, MPH
- Clinical Social Worker
- Guilford, CT
National Provider Identifier
1902423973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC22413
- Practice address
- 5 Durham Rd Ste B5
Guilford, CT 06437-2076 - Phone
- (203) 752-7397
- NPI assigned
- Jun 25, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 125891 | MA | |
| Clinical Social Worker | 1041C0700X | LC22413 | ME | Primary |
Addresses
Primary practice location
5 Durham Rd Ste B5
Guilford, CT 06437-2076
Mailing address
119 Dolan Dr
Guilford, CT 06437-2350
Phone (203) 752-7397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125891 | MA | MD | Clinical Social Worker |
| LC22413 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1902423973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 DOLAN DR",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372350",
"telephone_number": "203-752-7397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 DURHAM RD STE B5",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372076",
"telephone_number": "203-752-7397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHRER",
"first_name": "MARISA",
"credential": "LCSW, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "125891",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC22413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.