Individual provider Active NPI

Serena Morrison-Monteleone, LMSW

  • Social Worker
  • Waterbury, CT
National Provider Identifier
1922691963
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
855 Lakewood Rd
Waterbury, CT 06704-5408
Phone
(203) 802-3910
NPI assigned
Feb 19, 2021
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Social Worker 104100000X Primary

Addresses

Primary practice location

855 Lakewood Rd
Waterbury, CT 06704-5408

Mailing address

91 Northwest Dr
Plainville, CT 06062-1552
Phone (860) 793-3500

Other practice location 1

141 E Main St
Waterbury, CT 06702-2310
Phone (203) 574-9000

Other identifiers 1

IdentifierTypeStateIssuer
1922691963MedicaidCT

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
I20240429003280 CT Practitioner - Clinical Social Worker 4183064827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shoreline Wellness Behavioral Health Outreach IncGroup PAC ID 1951796119, 16 clinicians

Practice addresses (Care Compare)

415 Main St
West Haven, CT 06516-4296
Phone (203) 931-1184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Wellness Behavioral Health Outreach Inc CurrentSince Aug 21, 2025 Accepting new patients
Wheeler Clinic Inc CurrentSince Mar 13, 2024 Accepting new patients
Shoreline Wellness Center, LLC. CurrentSince Aug 21, 2025 Accepting new patients
Wheeler Clinic Inc CurrentSince Mar 13, 2024 Accepting new patients

Locations

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

855 Lakewood Rd
Waterbury, CT 06704
Phone (203) 560-3589

415 Main St
West Haven, CT 06516
Phone (203) 931-1184

Interoperability endpoints

  • Direct secure messaging: serena.morrisonmonteleone.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 4

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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1922691963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 NORTHWEST DR",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621552",
            "telephone_number": "860-793-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 LAKEWOOD RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067045408",
            "telephone_number": "203-802-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067022310",
            "country_code": "US",
            "telephone_number": "203-574-9000",
            "fax_number": "203-574-9006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON-MONTELEONE",
        "first_name": "SERENA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922691963",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.