Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mario Diego Perleche

Individual provider Clinical Social Worker · NPI 1457913238

Mario Diego Perleche is a Clinical Social Worker in Hartford, Connecticut. Qualified in 2019, 7 years ago. Practices with Intercommunity Inc, a 37-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
7
Licensed in
CT
In the registry since
2019
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Practice location Address checks out

331 Wethersfield Ave
Hartford, CT 06114-1420
Phone: (860) 236-4511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12010 (CT)

Record details

NPI number1457913238
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 2, 2019
Last updated in NPPESFebruary 2, 2022
Certification dateDecember 4, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Intercommunity Inc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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