Mary Mascolo Pellitteri, LADC - Counselor in Derby, CT

Mary Mascolo Pellitteri, LADC is a Counselor - Addiction (substance Use Disorder) based in Derby, Connecticut. Mary Mascolo Pellitteri is licensed to practice in Connecticut (license number 00364) and her current practice location is 130 Division Street, Griffin Hospital, Derby, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 732-7550.

NPI number for Mary Mascolo Pellitteri is 1245414440 and her current mailing address is 130 Division Street, Griffin Hospital, Derby, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245414440.

Contact Information

Mary Mascolo Pellitteri, LADC
130 Division Street, Griffin Hospital,
Derby, CT 06418
(203) 732-7550
(203) 732-1550

Map and Direction


Healthcare Provider's Profile

Full NameMary Mascolo Pellitteri
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location130 Division Street, Derby, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245414440
  • Provider Enumeration Date: 12/24/2007
  • Last Update Date: 05/16/2022

Medical Identifiers

Medical identifiers for Mary Mascolo Pellitteri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245414440NPI-NPPES
00364OtherCTLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 00364 (Connecticut)Primary

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. Mary Mascolo Pellitteri 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 AddressPractice Location Address
Mary Mascolo Pellitteri, LADC
130 Division Street, Griffin Hospital,
Derby, CT 06418

Ph: (203) 732-7550
Mary Mascolo Pellitteri, LADC
130 Division Street, Griffin Hospital,
Derby, CT 06418

Ph: (203) 732-7550

Reviews and Comments


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Medicare: Not Enrolled in Medicare
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7550    

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