Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Maturin Frye Waldo, LCSW-R

Individual provider Clinical Social Worker · NPI 1629178348

Mr. Maturin Frye Waldo, LCSW-R is a Clinical Social Worker in New London, Connecticut. Graduated from Fordham University School of Medicine in 1997, 29 years ago. Practices with Connecticut Behavioral Health Assoc PC, a 36-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
29
Trained at
Fordham University School of Medicine
Licensed in
CT
In the registry since
2006
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Practice location Address checks out

21 Montauk Ave
New London, CT 06320-4906
Phone: (860) 271-4700
Fax: (860) 271-4797
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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 007236 (CT)

Record details

NPI number1629178348
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedSeptember 23, 2006
Last updated in NPPESFebruary 24, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Connecticut Behavioral Health Assoc Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in New London