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

Mrs. Stacey Ann Matan

Individual provider Clinical Social Worker · NPI 1144020462

Mrs. Stacey Ann Matan is a Clinical Social Worker in Berlin, Connecticut. Qualified in 1998, 28 years ago. Practices with Mellahealth LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
28
Licensed in
CT
In the registry since
2025

Practice location Address checks out

132 Misty Mountain Rd
Berlin, CT 06037-2748
Phone: (203) 214-3191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 009211 (CT)

Record details

NPI number1144020462
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 17, 2025
Last updated in NPPESMarch 17, 2025
Certification dateMarch 16, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Mellahealth Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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