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MIRA MCDERMOTT M.A.
NPI 1124400916
Social Worker in Bristol, CT

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment
10 N MAIN ST, BRISTOL, CT 06010(860) 584-6555 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mira Mcdermott M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRA MCDERMOTT M.A. (NPI 1124400916) is an individual social worker in Bristol, Connecticut and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124400916
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMIRA MCDERMOTTCredential: M.A.
Location Address10 N MAIN STBristol, CT 06010-8122
Mailing Address10 N Main StBristol, CT 06010-8122 · (860) 584-6555
Phone(860) 584-6555
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 29, 2015
✔ NPI 1124400916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
10 N MAIN ST, Bristol, CT 06010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mira Mcdermott M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567711625
PECOS Enrollment IDI20180822002251
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID L RYAN REGISTERED NURSE
Registered Nurse
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 793-3500
MELANIE ELIZABETH HILLS
Social Worker
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (888) 793-3500
KASHMEER ZABLAN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
10 N MAIN ST, SUITE 210
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 314-2052
MRS. GERMAINE MICHELE ANDREWS RN
Registered Nurse (Pediatrics)
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 793-3500
SHANNON REBECCA WALSH
Social Worker
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 793-3500
KRISTIN M GARDNER RN
Registered Nurse
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 584-6555
PAIGE HINTON
Counselor (School)
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (888) 793-3500
DAMIRA KANDIC
Social Worker
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (888) 793-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mira Mcdermott's NPI number?

The NPI number for Mira Mcdermott is 1124400916. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Mira Mcdermott located?

Mira Mcdermott practices at 10 N Main St, Bristol, CT 06010. The listed phone number is (860) 584-6555.

What is Mira Mcdermott's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Mira Mcdermott enrolled in Medicare?

Yes. Mira Mcdermott is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mira Mcdermott was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.