Individual provider Active NPI

Marie A.C. Cortez, LCSW

  • Clinical Social Worker
  • South Windsor, CT
National Provider Identifier
1932609724
Registry record updated Feb 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009597 Issued in CT
Practice address
240 Orchard Hill Dr
South Windsor, CT 06074-3025
Phone
(860) 490-8384
NPI assigned
Feb 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 009597 CT Primary

Addresses

Primary practice location

240 Orchard Hill Dr
South Windsor, CT 06074-3025

Mailing address

240 Orchard Hill Dr
South Windsor, CT 06074-3025
Phone (860) 490-8384

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
I20231212000222 CT Practitioner - Clinical Social Worker 2163871500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

240 Orchard Hill Dr
South Windsor, CT 06074-3025
Phone (860) 490-8384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009597CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gladys' Counseling Place, PLLC-Where Life's Moments Make You Stronger Clinical CurrentSince Jul 30, 2018 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518912000000",
    "number": "1932609724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ORCHARD HILL DR",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743025",
            "telephone_number": "860-490-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ORCHARD HILL DR",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743025",
            "telephone_number": "860-490-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "MARIE",
        "middle_name": "A.C.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-18",
        "last_updated": "2018-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.