Active NPI
Tasha E Lott, MSW,BA,LMSW
- Social Worker
- Waterbury, CT
National Provider Identifier
1073871851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1115
- Practice address
- 70 Pine St
Waterbury Clinical Services
Waterbury, CT 06710-2169 - Phone
- (203) 935-5667
- Fax
- (203) 596-0722
- NPI assigned
- Apr 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1115 | CT | Primary |
Addresses
Primary practice location
70 Pine St
Waterbury Clinical Services
Waterbury, CT 06710-2169
Mailing address
141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 574-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1115 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1073871851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"address_2": "4TH FLOOR ADMINISTRATION",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 PINE ST",
"address_2": "WATERBURY CLINICAL SERVICES",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067102169",
"telephone_number": "203-935-5667",
"fax_number": "203-596-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "TASHA",
"middle_name": "E",
"credential": "MSW,BA,LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-30",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "1115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.