Individual provider Active NPI

Christopher Lodi, LCSW

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1013926096
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003442 Issued in CT
Practice address
330 Orchard St
New Haven, CT 06511-4417
Phone
(203) 208-5368
Fax
(410) 861-6262
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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 003442 CT Primary

Addresses

Primary practice location

330 Orchard St
New Haven, CT 06511-4417

Mailing address

800 Village Walk
Suite 257
Guilford, CT 06437-2762
Phone (203) 208-5368

Other identifiers 1

IdentifierTypeStateIssuer
140003442CT01OtherCTANTHEM

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
I20070823000768 CT Practitioner - Clinical Social Worker 4789681214 Practice locations: Hamden, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

295 Washington Ave
Suite 8
Hamden, CT 06518-3025
Phone (203) 907-6774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003442CTMDClinical Social Worker
3442CTMDOptometrist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1013926096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 VILLAGE WALK",
            "address_2": "SUITE 257",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372762",
            "telephone_number": "203-208-5368",
            "fax_number": "410-861-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ORCHARD ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114417",
            "telephone_number": "203-208-5368",
            "fax_number": "410-861-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODI",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140003442CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.