Active NPIIndividual providerSole proprietor

Marissa L Stafford, LMSW

Social Worker, Clinical in Weatogue, Connecticut

NPI Number1730451683
Practice location
121 Old Canal Way, Weatogue, CT 06089-9688
Fax
—
Last updated
March 11, 2016

Marissa Lynn Stafford is a Social Worker, Clinical based in Weatogue, CT. Marissa Lynn Stafford practices in Weatogue, CT and has the professional credentials of LMSW. The NPI Number for Marissa Lynn Stafford is 1730451683. The current practice location address for Marissa Lynn Stafford is 121 Old Canal Way, Weatogue, CT 06089-9688 and can be reached out via phone at 860-866-7687.

Provider Profile Details

NPI Number
1730451683
Provider Name
Marissa Lynn Stafford
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
121 Old Canal Way, Weatogue, CT 06089-9688
Phone Number
860-866-7687
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 7, 2012
Last Update Date
March 11, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 Old Canal Way
Weatogue, CT 06089-9688
Zip
06089-9688
Phone Number
860-866-7687
Weatogue, CT 06089Get directions →

Provider Business Mailing Address Details

Address
121 Old Canal Way
Weatogue, CT 06089-9688
City
Weatogue
State
CT
Zip
06089-9688
Phone Number
860-866-7687

License Information

Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marissa L Stafford, LMSW?

The NPI number of Marissa L Stafford, LMSW is 1730451683. It was assigned on February 7, 2012 and is currently active in the NPPES registry.

What is the specialty of Marissa L Stafford, LMSW?

Marissa L Stafford, LMSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Marissa L Stafford, LMSW practice?

The practice location is 121 Old Canal Way, Weatogue, CT 06089-9688. The office can be reached at 860-866-7687 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730451683 directly on the NPPES registry website.

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