Lauren Modzelewski

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

011144 Issued in CT

Practice address

100 Pearl St FL 14
Hartford, CT 06103-4500

Phone

(860) 531-8234

NPI assigned

Feb 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Cooper Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lauren.cooper.p1@direct.wheelerclinic.nextgenshare.com

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1033674593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEARL ST FL HARTFORD",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061034506",
            "telephone_number": "860-531-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEARL ST FL 14",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061034500",
            "telephone_number": "860-531-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODZELEWSKI",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "COOPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul F Mitchell, DMD
• Sabrina Mitchell, MSW
• Tracy E. Mitchell, ACSW, LCSW
• Maggie Rose Mittleman
• MLC Marketing LLC
• Sandra Lee Moehle, LCSW
• Amira M Mohamed Ahmed, M.D.
• Dawud Faisal Mohamed, PA
• Kareem A Mohamed, MD
• Mohamed Saber Amin Elyamny Mohamed, MD

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.