Individual provider Active NPI

Mary Ellen Foulds Lorefice, MSW, LCSW

  • Clinical Social Worker
  • Old Greenwich, CT
National Provider Identifier
1033345574
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000947 Issued in CT
Practice address
39 Ballwood Road
Old Greenwich, CT 06870
Phone
(203) 637-0842
Fax
(203) 637-8052
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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 000947 CT Primary

Addresses

Primary practice location

39 Ballwood Road
Old Greenwich, CT 06870

Mailing address

39 Ballwood Road
Old Greenwich, CT 06870
Phone (203) 637-0842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 23, 2018 through Apr 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1033345574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BALLWOOD ROAD",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "06870",
            "telephone_number": "203-637-0842",
            "fax_number": "203-637-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BALLWOOD ROAD",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "06870",
            "telephone_number": "203-637-0842",
            "fax_number": "203-637-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOREFICE",
        "first_name": "MARY ELLEN",
        "middle_name": "FOULDS",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Greenwich, CT

Sources for this page

Verify at the official NPI Registry.