MRS. MARCY S PUKLIN (NPI# 1568677037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568677037 |
| Entity Type | Individual |
| Full Name | MRS. MARCY S PUKLIN |
| Credential | LCSW |
| Practice Address |
57 Plains Rd Milford CT 06461-2573 |
| Mailing Address |
1 Victoria Ln Westport CT 06880-2155 |
| Practice Telephone | 2038585560 |
| Mailing Telephone | 2032275752 |
| Mailing Fax Number | 2032218119 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
002528 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE LICENSE | 002528 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21 Pequot Dr, Norwalk, CT 068551608 | 2038585560 |
| Street Address |
57 PLAINS RD |
| City | MILFORD |
| State | CT |
| Zip Code | 06461-2573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114916574 | Lisa A Taylor-austin | Counselor | 57 Plains Rd, Suite 2c, Milford, CT 06461-2573 | 2005-10-18 |
| 1306396981 | The Taylor-austin Group, LLC | Counselor | 57 Plains Rd, Suite 2c, Milford, CT 06461-2573 | 2016-10-07 |
| 1821542408 | Fresh Pathways | Nurse Practitioner | 57 Plains Rd, Milford, CT 06461-2573 | 2016-08-11 |
| 1932559960 | Naza Bungu | Community/Behavioral Health | 57 Plains Rd, Suite 1b, Milford, CT 06461-2573 | 2016-06-21 |
| 1639526510 | Johanna D. Von Hollinger, Ma, Lmft, LLC | Marriage & Family Therapist | 57 Plains Rd, Suite 1b, Milford, CT 06461-2573 | 2016-05-19 |
| 1730549759 | Living Spring LLC | Psychiatry & Neurology | 57 Plains Rd, Milford, CT 06461-2573 | 2016-03-03 |
| 1942610027 | Adonai Optimal Health and Wellness, LLC | Naturopath | 57 Plains Rd, Milford, CT 06461-2573 | 2014-04-29 |
| 1417396995 | Yvette M Whitton | Naturopath | 57 Plains Rd, Milford, CT 06461-2573 | 2013-06-18 |
| 1336582196 | Marcy M Dolan | Naturopath | 57 Plains Rd, Milford, CT 06461-2573 | 2013-04-11 |
| 1427316850 | Taryn Zarnetske | Social Worker | 57 Plains Rd, Suite 1e, Milford, CT 06461-2573 | 2012-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017648 | Connecticut Orthopaedic Surgery Center, LLC | Clinic/Center | 205 Sub Way Drive, Milford, CT 06461 | 2019-01-22 |
| 1922592732 | Sherry Lucke | Nurse Practitioner | 26 Milford Hunt Ln, Milford, CT 06461 | 2018-06-15 |
| 1609302876 | Michael Romano | Marriage & Family Therapist | 57 Plains Rd Ste 3c, Milford, CT 06461 | 2017-05-10 |
| 1306220868 | Marie Charlene Louisgene | Dental Assistant | 25 Arlmont Street, Milford, CT 06461 | 2015-07-15 |
| 1275920753 | Alicea Corey | Marriage & Family Therapist | 580 Naugatuck Ave, Milford, CT 06461 | 2015-04-22 |
| 1891882478 | David M Brothers | Ophthalmology | 255 W River St, Milford, CT 06461 | 2006-10-06 |
| 1386884294 | Gail Grace Seamonds | Nurse Anesthetist, Certified Registered | 39 Lavery Ln, Milford, CT 06461-1625 | 2009-03-05 |
| 1588085591 | Linda C. Grenus | Occupational Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2013-12-17 |
| 1669085692 | Jaclyn Bria | Occupational Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2020-08-28 |
| 1477165314 | Brian Ing | Physical Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2020-08-21 |
| Find all providers in zip 06461 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923797 | Tiffany Hope | Social Worker | 217 Forest Rd, Milford, CT 06461-2729 | 2020-08-22 |
| 1306458963 | Erica Mcneely, LLC | Social Worker | 675 W Dawson Rd, Milford, MI 48381-2718 | 2020-08-17 |
| 1578171369 | B Your Best Mental Wellness, LLC | Social Worker | 203 Broad St Unit 3c, Milford, CT 06460-4749 | 2020-07-17 |
| 1740805324 | Michele H Brownstein | Social Worker | 123 Hillside Ave, Milford, CT 06460-7811 | 2020-06-10 |
| 1336777655 | Katie Rodriguez | Social Worker | 57 Plains Rd Ste Doffice3, Milford, CT 06461-2573 | 2020-03-31 |
| 1609403302 | Marcie B Carlson | Social Worker | 111a Merwin Ave, Milford, CT 06460-7957 | 2020-03-24 |
| 1134689839 | Mikhail Wint Sr. | Social Worker | 556 S Dupont Blvd Ste I, Milford, DE 19963-1706 | 2019-03-20 |
| 1174008445 | Susan M Beers | Social Worker | 86 Stable Rd, Milford, NH 03055-3536 | 2018-10-02 |
| 1659862142 | Michael T Wright | Social Worker | 104 Bennett Ave Ste 2a-1, Milford, PA 18337-9423 | 2018-05-21 |
| 1952890170 | Sandra Caproni | Social Worker | 9 Oak Ter, Milford, MA 01757-1329 | 2018-05-03 |
| Find all providers in MILFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.