MIA LALEH TABIB – Social Worker, NPI 1003432733

MIA LALEH TABIB is a healthcare provider. based in Branford, Connecticut. specializing in CLINICAL SOCIAL WORKER. The NPI Number for MIA LALEH TABIB is 1003432733

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MIA LALEH TABIB
NPI
1003432733
Phone
(203) 483-2645
Address
13 SYCAMORE WAY
Enumeration Date
18 June 2020
Last Update Date
18 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2034832630
Graduation Year
2020 (6 years ago)
PAC ID
2365839487
Group Practice PAC ID
5193819308
Professional Enrollment ID
I20220624000157
Address ID
CT064056551BR14XXXWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

2,151 CLINICAL SOCIAL WORKER in CT

Provider Addresses for MIA LALEH TABIB

  • 13 SYCAMORE WAY

    BRANFORD, CT 064056518

    Phone: (203) 483-2645

    Type: Location

  • 127 WASHINGTON AVE

    NORTH HAVEN, CT 064731715

    Phone: (203) 446-9739

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220624000157IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90853Group psychotherapy34425$0
90832Psychotherapy, 30 minutes23922$0
View full utilization report →

Insurance plans in this area (ZIP 06405)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193819308View full group profile
NameSpecialtyState
Mental Health CounselorCT
Clinical Social WorkerCT
P S Y C H I A T R YCT
P S Y C H I A T R YNY
Nurse PractitionerFL
Clinical Social WorkerCT
Clinical Social WorkerCT
P S Y C H I A T R YCT
Clinical Social WorkerCT
Clinical PsychologistCT

Reviews

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Frequently asked questions

Is there an official ID for MIA LALEH TABIB in U.S. healthcare records?
The official identifier for MIA LALEH TABIB is NPI 1003432733.
Is MIA LALEH TABIB shown as active in public data?
Registry records indicate MIA LALEH TABIB maintains an active NPI.
What expertise is attributed to MIA LALEH TABIB?
MIA LALEH TABIB's specialty line reads Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with MIA LALEH TABIB?
Directory geography for MIA LALEH TABIB centers on Branford, Connecticut.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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