Laurel Megan McCormack

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

342 Harbor St
Branford, CT 06405-4540

Phone

(203) 481-4248

NPI assigned

Nov 18, 2022

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

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fair Haven Community Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • New Haven, CT
  • NPI 1104803444
  Medicare reassignment
• Fair Haven Community Health Clinic, Inc

  • Community/Retail Pharmacy
  • Branford, CT
  • NPI 1760051486
  NPD
• Fair Haven Community Health Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • New Haven, CT
  • NPI 1811372469
  NPD
• Town of Branford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Branford, CT
  • NPI 1063437895
  NPD

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1043929953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HARBOR ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054540",
            "telephone_number": "203-481-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 HARBOR ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054540",
            "telephone_number": "203-481-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "LAUREL",
        "middle_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsylvia@direct.branfordcounseling.org",
            "affiliation": "Y",
            "affiliationName": "Town of Branford",
            "address_1": "342 Harbor St",
            "city": "Branford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064054540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily McAllister, PHARMD.
• John D McCallum III, M.D.
• Erin H McCarthy, LCSW
• Mary McCarthy, OTR
• Suzanne Champagne McColl, MS,LPC
• Caitlin Ann McCormick, ARNP
• Kate McDonough, MS, CCC-SLP
• Camryn Jean McGuire, RN, MSN, PMHNP-BC
• Jessica Lynn McMahon, OTR/L
• Susan McNamara, L C S W

• Social Worker in Branford, CT
• Providers in Branford, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.