MARLANDA HAMILTON
NPI 1780197988
Social Worker - Clinical in Mansfield Center, CT
About Marlanda Hamilton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARLANDA HAMILTON (NPI 1780197988) is an individual clinical provider in Mansfield Center, Connecticut and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Willimantic, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marlanda Hamilton 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.
Medicare Billing Reassignments
2Medicare enrollment records show Marlanda Hamilton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Enfield, CT 06082
- Reassigned Medicare billing, Connecticut enrollment
- 227 clinicians in this Medicare group
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 166 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06250 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MANSFIELD CENTER, CT 06250
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 Marlanda Hamilton's NPI number?
The NPI number for Marlanda Hamilton is 1780197988. It was assigned to this individual provider in the NPPES registry on November 9, 2017.
Where is Marlanda Hamilton located?
Marlanda Hamilton practices at 7B Ledgebrook Dr, Mansfield Center, CT 06250. The listed phone number is (860) 731-5522.
What is Marlanda Hamilton's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Marlanda Hamilton enrolled in Medicare?
Yes. Marlanda Hamilton 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.
Which organizations bill Medicare for Marlanda Hamilton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marlanda Hamilton reassigns Medicare benefits to 2 organizations: Community Health Resources, Inc. (Enfield, CT) and Middlesex Hospital (Middletown, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marlanda Hamilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marlanda Hamilton accept?
Health plans from Anthem Blue Cross and Blue Shield list Marlanda Hamilton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Marlanda Hamilton was last updated on June 15, 2020. 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.