Melissa Jayne Yetso, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004450 Issued in CT

Practice address

225 Montowese St
Branford, CT 06405-3873

Phone

(203) 619-1664

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Melissa Jayne Lipuma Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Town of Branford

  dba Branford Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Branford, CT
  • NPI 1063437895

  Clinical

  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1972619310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FAIRY DELL RD",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "06413",
            "telephone_number": "860-669-2060",
            "fax_number": "203-483-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MONTOWESE ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053873",
            "telephone_number": "203-619-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YETSO",
        "first_name": "MELISSA",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004230439",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2749520",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LIPUMA",
            "middle_name": "JAYNE",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandy E Wolf, MSW
• Women's Intuition and Self Healing, LLC
• Wren Laboratories LLC
• WRH Mental Health Services, LLC
• Reza Yavari, M.D.
• David Young, MD
• Jennifer L Young, M.D.
• Youth Continuum
• Joseph Yu, MD
• Sergey Zasypayko, M.D

• Clinical Social Worker in Branford, CT
• Providers in Branford, 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 6, 2019; 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.