Individual provider Active NPI

Laurie Giemza, LCSW

  • Clinical Social Worker
  • Norwich, CT
National Provider Identifier
1013417849
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003160 Issued in CT
Practice address
42 Town St Ste 300
Norwich, CT 06360-2339
Phone
(860) 886-0567
NPI assigned
Feb 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003160 CT Primary

Addresses

Primary practice location

42 Town St Ste 300
Norwich, CT 06360-2339

Mailing address

77 Goose Hill Rd
Chester, CT 06412-1228
Phone (860) 526-2281

Other practice location 1

5 Founders St Ste 100
Willimantic, CT 06226-2048
Phone (860) 423-9764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180409000914 CT Practitioner - Clinical Social Worker 3274896063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kindred Psychotherapy and Consultation PLLCGroup PAC ID 3870980238, 5 clinicians

Practice addresses (Care Compare)

555 Highland Ave
Suite 21
Cheshire, CT 06410-2255
Phone (860) 305-2727

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003160CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jun 1, 2019 Accepting new patients
Kindred Psychotherapy and Consultation PLLC Clinical CurrentSince Apr 1, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Mar 19, 2018 Accepting new patients

Locations

555 Highland Ave
Ste 21
Cheshire, CT 06410
Phone (860) 305-2727

42 Town St
Ste 300
Norwich, CT 06360
Phone (860) 886-0567

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

5 Founders St
Ste 100
Willimantic, CT 06226
Phone (860) 423-9764

Interoperability endpoints

  • Direct secure messaging: laurie.giemza@xdr.hhchealthdirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013417849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GOOSE HILL RD",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121228",
            "telephone_number": "860-526-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 TOWN ST STE 300",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602339",
            "telephone_number": "860-886-0567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Founders St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Willimantic",
            "state": "CT",
            "postal_code": "062262048",
            "country_code": "US",
            "telephone_number": "860-423-9764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIEMZA",
        "first_name": "LAURIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.