MC Counseling and Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0094588 Issued in CT

Legal business name

MC COUNSELING AND WELLNESS, LLC

Practice address

375 Mather St
Hamden, CT 06514-3101

Phone

(203) 695-5914

NPI assigned

Mar 5, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Marissa R. Ryan, LCSW

Title

Therapist

Phone

(203) 695-5914

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1912409079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MATHER ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MATHER ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143101",
            "telephone_number": "203-695-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "203-695-5914",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "0094588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Hamden, CT
• Providers in Hamden, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.