Mrs Margie Maldonado, LCSW - Medicare Counselor in Enfield, CT

Mrs Margie Maldonado, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Enfield, Connecticut. She graduated from healthcare school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Community Health Resources, Inc. and her current practice location is 153 Hazard Ave, Enfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 253-5020.

Mrs Margie Maldonado is licensed to practice in Connecticut (license number 07422) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881717254.

Contact Information

Mrs Margie Maldonado, LCSW
153 Hazard Ave,
Enfield, CT 06082-4592
(860) 253-5020
(860) 253-5030

Map and Direction


Healthcare Provider's Profile

Full NameMrs Margie Maldonado
GenderFemale
SpecialityClinical Social Worker
Experience36 Years
Location153 Hazard Ave, Enfield, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Margie Maldonado graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1881717254
  • Provider Enumeration Date: 04/09/2007
  • Last Update Date: 10/22/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5698868008
  • Enrollment ID: I20110207000845

Medical Identifiers

Medical identifiers for Mrs Margie Maldonado such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881717254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 908 (Massachusetts)Secondary
1041C0700XSocial Worker - Clinical 1020242 (Massachusetts)Secondary
1041C0700XSocial Worker - Clinical 07422 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health Resources, Inc.559765214940

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Margie Maldonado allows following entities to bill medicare on her behalf.
Entity NameCommunity Health Resources, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215979810
PECOS PAC ID: 5597652149
Enrollment ID: O20040301000155

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. Mrs Margie Maldonado is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Margie Maldonado, LCSW
153 Hazard Ave,
Enfield, CT 06082-4592

Ph: (860) 253-5020
Mrs Margie Maldonado, LCSW
153 Hazard Ave,
Enfield, CT 06082-4592

Ph: (860) 253-5020

Reviews and Comments


Social Worker in Enfield, CT


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.