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MARISSA LYNN STAFFORD LMSW
NPI 1730451683
Social Worker - Clinical in Weatogue, CT

Active since February 07, 2012
121 OLD CANAL WAY, WEATOGUE, CT 06089(860) 866-7687 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Lynn Stafford Lmsw NPPES

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

MARISSA LYNN STAFFORD LMSW (NPI 1730451683) is an individual clinical provider in Weatogue, Connecticut and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1730451683
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARISSA LYNN STAFFORDCredential: LMSW
Location Address121 OLD CANAL WAYWeatogue, CT 06089-9688
Mailing Address121 Old Canal WayWeatogue, CT 06089-9688 · (860) 866-7687
Phone(860) 866-7687
Sole ProprietorYes
Enumeration DateFebruary 7, 2012
Last NPPES UpdateMarch 11, 2016
✔ NPI 1730451683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
121 OLD CANAL WAY, Weatogue, CT 06089
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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 Marissa Stafford's NPI number?

The NPI number for Marissa Stafford is 1730451683. It was assigned to this individual provider in the NPPES registry on February 7, 2012.

Where is Marissa Stafford located?

Marissa Stafford practices at 121 Old Canal Way, Weatogue, CT 06089. The listed phone number is (860) 866-7687.

What is Marissa Stafford's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Marissa Stafford was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.