NPIMap

Organization Active NPI

Southeastern Council on Alcoholism and Drug Dependence Inc

  • Substance Abuse Rehabilitation Facility
  • Lebanon, CT
National Provider Identifier
1003960022
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SA0020 Issued in CT
Legal business name
SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC
Practice address
37 Camp Mooween Road
Lebanon, CT 06249
Phone
(860) 889-1717
Fax
(860) 886-2361
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stacey Lynn Lawton, LMSW
Title
Chief Executive Officer
Phone
(860) 579-3616

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 0439 CT
Substance Abuse Rehabilitation Facility 324500000X SA0020 CT Primary
Substance Abuse Rehabilitation Facility 324500000X SA-0018 CT

Addresses

Primary practice location

37 Camp Mooween Road
Lebanon, CT 06249

Mailing address

1 Montauk Ave Ste 301
New London, CT 06320-4967
Phone (860) 447-1717

Other practice location 1

40 Coit St
New London, CT 06320-5904
Phone (860) 447-1717

Other practice location 2

64 Coit St
New London, CT 06320-5923
Phone (860) 447-1717

Other practice location 3

313 Main St
Norwich, CT 06360-5835
Phone (860) 447-1717

Other practice location 4

47 Coit St
New London, CT 06320-5924
Phone (860) 447-1717

Other practice location 5

38 Coit St
New London, CT 06320-5904
Phone (860) 447-1717

Other practice location 6

932 Bank St
New London, CT 06320-2703
Phone (860) 447-1717

Other identifiers 9

IdentifierTypeStateIssuer
008109801MedicaidCT
008110670MedicaidCT
008110668MedicaidCT
004042073MedicaidCT
008132356MedicaidCT
004144606MedicaidCT
008004220MedicaidCT
008075943MedicaidCT
008133549MedicaidCT

Other names 1

  • SCADD Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments
Opioid treatment program
Medicare-enrolled since Oct 26, 2022

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091120000345 CT Part B Supplier - Clinic/Group Practice 0941349591 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Lebanon, CT; New London, CT
O20230321001740 CT Part B Supplier - Opioid Treatment Program (Otp) 0941349591 Practice locations: New London, CT

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Southeastern Council on Alcoholism and Drug Dependence Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

37 Camp Moween Rd
Lebanon, CT 06249
Phone (860) 886-2495

38 Coit St
New London, CT 06320

1 Montauk Ave
Ste 301
New London, CT 06320

1 Montauk Ave
New London, CT 06320

932 Bank St
New London, CT 06320
Phone (860) 294-9586

64 Coit St
New London, CT 06320

40 Coit St
New London, CT 06320

313 Main St
Norwich, CT 06360

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1003960022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MONTAUK AVE STE 301",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204967",
            "telephone_number": "860-447-1717",
            "fax_number": "860-887-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CAMP MOOWEEN ROAD",
            "city": "LEBANON",
            "state": "CT",
            "postal_code": "06249",
            "telephone_number": "860-889-1717",
            "fax_number": "860-886-2361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Coit St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063205904",
            "country_code": "US",
            "telephone_number": "860-447-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 Coit St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063205923",
            "country_code": "US",
            "telephone_number": "860-447-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 Main St",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063605835",
            "country_code": "US",
            "telephone_number": "860-447-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47 Coit St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063205924",
            "country_code": "US",
            "telephone_number": "860-447-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 Coit St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063205904",
            "country_code": "US",
            "telephone_number": "860-447-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "932 Bank St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063202703",
            "country_code": "US",
            "telephone_number": "860-447-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "LAWTON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "860-579-3616",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "0439",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CT",
            "license": "SA0020",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CT",
            "license": "SA-0018",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008109801",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008110670",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008110668",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004042073",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008132356",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004144606",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008004220",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008075943",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008133549",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCADD Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.