Individual provider Active NPI

Lynn Marie Obomalayat, LCSW

  • Clinical Social Worker
  • South Windsor, CT
National Provider Identifier
1073162947
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58003916 Issued in CT
Practice address
25 Cardinal Way
South Windsor, CT 06074-3745
Phone
(860) 281-1771
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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 58003916 CT Primary

Addresses

Primary practice location

25 Cardinal Way
South Windsor, CT 06074-3745

Mailing address

25 Cardinal Way
South Windsor, CT 06074-3745
Phone (860) 281-1771

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Other names 1

  • Lynn Frascione Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cnapolitano@hopewellhealthsolutions.com

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
I20200430000436 CT Practitioner - Clinical Social Worker 0840620050 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58003916CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Obomalayat, LLC CurrentSince Feb 2, 2020 Accepting new patients

Locations

33 Pratt St
Glastonbury, CT 06033
Phone (860) 933-5532

469 Buckland Rd
Ste 104
South Windsor, CT 06074
Phone (860) 432-1771

Interoperability endpoints

  • Direct secure messaging: cnapolitano@hopewellhealthsolutions.com

Organizations & group practices 1

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1073162947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CARDINAL WAY",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743745",
            "telephone_number": "860-281-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CARDINAL WAY",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743745",
            "telephone_number": "860-281-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBOMALAYAT",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58003916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cnapolitano@hopewellhealthsolutions.com",
            "affiliation": "N",
            "address_1": "33 Pratt St",
            "city": "Glastonbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060331014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "FRASCIONE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.