Anisa K. Taliercio

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4037 Issued in CT

Practice address

350 Center Rock GRN Ste 9
Oxford, CT 06478-3170

Phone

(203) 951-1858

NPI assigned

Mar 28, 2020

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

Other identifiers 1

Other names 1

• Anisa K. Nieves Former name

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Southern Connecticut Christian Counseling CenterGroup PAC ID 9133266109, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern Connecticut Christian Counseling Center

  • Community/Behavioral Health Agency
  • Fairfield, CT
  • NPI 1164652871
  Medicare reassignment Care Compare group NPD
• Wellness Center of Oxford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shelton, CT
  • NPI 1275008195
  Medicare reassignment NPD

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585353600000",
    "number": "1962030858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TRIANGLE ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068551627",
            "telephone_number": "203-814-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CENTER ROCK GRN STE 9",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064783170",
            "telephone_number": "203-951-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIERCIO",
        "first_name": "ANISA",
        "middle_name": "K.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "4037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTER LEVEL SOCIAL WORKER LICENSE",
            "identifier": "4037",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Norwalk",
            "affiliation": "N",
            "address_1": "350 Center Rock Grn Ste 9",
            "city": "Oxford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064783170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANISA",
            "last_name": "NIEVES",
            "middle_name": "K.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Sotiros-Lowry, MD
• Julia Spagnoletti
• Corey Tyler Stepeck, LMSW
• Jessica A Suomala, P.T.
• Erin Szymanski, M.S. CCC-SLP
• Mikaelah Serena Teixeira, CCC-SLP
• Cristin Marie Tilki, OTR/L
• Janine Marie Torre, OTR/L
• Kristin Marie Torre, MD
• Vienna Tranquillo, CHN

• Social Worker in Oxford, CT
• Providers in Oxford, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.