MARY K SALUSTRI (LCSW) – Clinical Social Worker, NPI 1245257070

MARY K SALUSTRI (LCSW) is a healthcare provider. based in Willimantic, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for MARY K SALUSTRI (LCSW) is 1245257070

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MARY K SALUSTRI (LCSW)
NPI
1245257070
Phone
(860) 456-2261
Address
132 MANSFIELD AVE
Enumeration Date
16 July 2006
Last Update Date
27 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602911335
Graduation Year
2003 (23 years ago)
PAC ID
5890970644
Group Practice PAC ID
9032001649
Professional Enrollment ID
I20110421000407
Address ID
CT061181823EA281XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,153 CLINICAL SOCIAL WORKER in CT

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Provider Addresses for MARY K SALUSTRI (LCSW)

  • Windham Hospital Professional Building, 132, Mansfield Avenue, Willimantic, Windham, Windham County, Connecticut, 06226, United States

    WILLIMANTIC, CT 062262027

    Phone: (860) 456-2261

    Type: Location

  • 31, Wildwood Drive, Columbia, Capitol Planning Region, Connecticut, 06237, United States

    COLUMBIA, CT 062371544

    Phone: (860) 228-4504

    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: 2011-04-21

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
I20110421000407IClinical 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 psychotherapy5011$0
View full utilization report →

Insurance plans in this area (ZIP 06226)

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Provider's Procedures

MARY K SALUSTRI (LCSW) performs procedures in CLINICAL SOCIAL WORKER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CLINICAL SOCIAL WORKERCT90853Group psychotherapy13615

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: 9032001649View full group profile
NameSpecialtyState
-CT
Clinical Social WorkerCT
Mental Health CounselorCT
Mental Health CounselorNY
Clinical Social WorkerCT
Nurse PractitionerCT
Clinical Social WorkerCT
Nurse PractitionerCT
Clinical Social WorkerCT
P S Y C H I A T R YCT

Reviews

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Frequently asked questions

What unique ID ties claims to MARY K SALUSTRI (LCSW)?
NPI 1245257070 is assigned to MARY K SALUSTRI (LCSW) under the national enumeration system.
Is MARY K SALUSTRI (LCSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MARY K SALUSTRI (LCSW)?
The page reflects Clinical Social Worker for MARY K SALUSTRI (LCSW). Clinical services aligned with this taxonomy classification.
Where is MARY K SALUSTRI (LCSW)'s primary listing?
We display Willimantic, Connecticut because that is what the record indicates for MARY K SALUSTRI (LCSW).
What if Willimantic, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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