Marcus Allen Stallworth, LMSW is a
Social Worker - Clinical based in Waterbury, Connecticut. Marcus Allen Stallworth is licensed to practice in Connecticut (license number 1025) and his current practice location is
77 Chapman Ave Fl 3, Waterbury, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 568-5662.
NPI number for Marcus Allen Stallworth is 1992103204 and his current mailing address is 12 Snow Crystal Rd, Naugatuck, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992103204.
Healthcare Provider's Profile
| Full Name | Marcus Allen Stallworth |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 77 Chapman Ave Fl 3, Waterbury, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992103204
- Provider Enumeration Date: 12/18/2014
- Last Update Date: 04/15/2015
Medical Identifiers
Medical identifiers for Marcus Allen Stallworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992103204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1025 (Connecticut) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marcus Allen Stallworth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marcus Allen Stallworth, LMSW
12 Snow Crystal Rd,
Naugatuck, CT 06770-3527
Ph: (203) 568-5662 | Marcus Allen Stallworth, LMSW
77 Chapman Ave Fl 3,
Waterbury, CT 06710-1309
Ph: (203) 568-5662 |
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