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

MS. Marcy Marie Fanello Diaz, LCSW

Individual provider Clinical Social Worker · NPI 1346305596

MS. Marcy Marie Fanello Diaz, LCSW is a Clinical Social Worker in Middletown, Connecticut. Works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

124 Court St Lowr Level
Middletown, CT 06457-3333
Phone: (860) 807-3752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Vine St, Hartford, CT 06112-1639 — (860) 297-0905

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5673 (CT)

Record details

NPI number1346305596
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 27, 2006
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021

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