Iolanda F Marucci, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008064 Issued in CT

Practice address

92 Blueberry KNLS
Middlebury, CT 06762-1716

Phone

(203) 768-4427

NPI assigned

Sep 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shade of Light Counseling LLC

  • Clinical Social Worker
  • Middlebury, CT
  • NPI 1013583640
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378080000000",
    "number": "1932533403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BLUEBERRY KNLS",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621716",
            "telephone_number": "203-768-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BLUEBERRY KNLS",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621716",
            "telephone_number": "203-768-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUCCI",
        "first_name": "IOLANDA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-02",
        "last_updated": "2013-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Marini, MS, OTR
• Amber Elizabeth Marino, PT
• Patricia Marie Marriott, PA-C, MPAS
• Ami S Marshall, APRN
• Alicia Martin, MSPT
• Krista Maturo, LPC
• Joycelyn Dadural Maw, M.D.
• Garret Mazur, LCSW
• Janice Marie McGowan-Dean, MS CCC-SLP
• Mary Evelyn McGrath, R.P.T.

• Clinical Social Worker in Middlebury, CT
• Providers in Middlebury, 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 Sep 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.