Laprise Counseling Services PLLC

Organization Active NPI Clinical Social Worker · Westport, MA

NPI 1013407634 · NPPES record last updated Feb 4, 2019

Key facts

NPI
1013407634
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
LAPRISE COUNSELING SERVICES PLLC
Practice address
360 Gifford Rd
Westport, MA 02790-3414
Phone
(774) 930-6515
NPI assigned
May 18, 2018
Organization subpart
No

Authorized official

Name
Justin Laprise, LICSW NPI 1477061547
Title
Ceo
Phone
(774) 930-6515

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20241029000834 MA Part B Supplier - Clinic/Group Practice 9133470073 Receives reassigned benefits from 1 practitioner
Practice locations: Westport, MA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

360 Gifford Rd
Westport, MA 02790-3414

Mailing address

1 Towne House Rd
Hamden, CT 06514-2103

Other practice location 1

1 Towne House Rd
Hamden, CT 06514
Phone (774) 930-6515

Other identifiers

IdentifierTypeStateIssuer
008078345MedicaidCT

Other providers in Westport, MA

All providers in Westport, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.