Individual provider Active NPI

Lori Elizabeth Sollose, L.C.S.W.

  • Clinical Social Worker
  • Brookfield, CT
National Provider Identifier
1083767099
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
055958-1 Issued in CT
Practice address
246 Federal Rd Ste C35
Brookfield, CT 06804-2650
Phone
(914) 661-0979
Fax
(203) 740-0124
NPI assigned
Jan 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 055958-1 CT Primary

Addresses

Primary practice location

246 Federal Rd Ste C35
Brookfield, CT 06804-2650

Mailing address

PO Box 20
Brookfield, CT 06804-0020
Phone (914) 661-0979

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

State licenses

LicenseStateTypeSpecialty
055958-1CTMDClinical Social Worker
055958NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lori C Sollose Psycotherapy & Clinical Supervision LLC Clinical Past Accepting new patients
Connecticut Center for Integrated Healthcare LLC Past Accepting new patients
Family Services of Westchester, Inc. PastSince Jan 1, 2015 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083767099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068040020",
            "telephone_number": "914-661-0979",
            "fax_number": "203-740-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE C35",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042650",
            "telephone_number": "914-661-0979",
            "fax_number": "203-740-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLOSE",
        "first_name": "LORI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "055958-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.