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MRS. MADELINE MANTILLA M.S.
NPI 1184004335
Counselor - Professional in Stamford, CT

Active since June 03, 2015
401 SHIPPAN AVE, STAMFORD, CT 06902(203) 517-3375(203) 353-1524 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Madeline Mantilla M.s. NPPES

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

MRS. MADELINE MANTILLA M.S. (NPI 1184004335) is an individual professional provider in Stamford, Connecticut, licensed in Connecticut (003667) and active in the NPI registry since June 2015. She maintains a secondary practice location in Bridgeport.

NPPES Registry Identity

NPI1184004335
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MADELINE MANTILLACredential: M.S.
Location Address401 SHIPPAN AVEStamford, CT 06902-6075
Mailing Address180 Fairfield AveBridgeport, CT 06604-4252 · (203) 394-6529 · Fax (203) 384-8835
Phone(203) 517-3375
Fax(203) 353-1524
Sole ProprietorNo
Enumeration DateJune 3, 2015
Last NPPES UpdateDecember 3, 2019
✔ NPI 1184004335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 003667
401 SHIPPAN AVE, Stamford, CT 06902
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Secondary Practice Location 1

Location 1180 Fairfield AveBridgeport, CT 06604-4252 · Phone (203) 394-6529 ext. 3022 · Fax (203) 384-8835

Other Providers at the Same Location NPPES 3

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

LUZ CRUZ LCSW
Social Worker
401 SHIPPAN AVE
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 324-6127
MARGARET MEGHIE
Social Worker (Clinical)
401 SHIPPAN AVE
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 324-6127
ELSY ROXANNA SOBERAL-PEREZ LCSW
Social Worker
401 SHIPPAN AVE
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 324-6127

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 Madeline Mantilla's NPI number?

The NPI number for Madeline Mantilla is 1184004335. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Madeline Mantilla located?

Madeline Mantilla practices at 401 Shippan Ave, Stamford, CT 06902. The listed phone number is (203) 517-3375.

What is Madeline Mantilla's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Madeline Mantilla was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.