Lara Nordenson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC23898 Issued in ME

Practice address

602 Brighton Ave
Portland, ME 04102-2324

Phone

(207) 939-5080

NPI assigned

Sep 28, 2015

Last updated

Aug 8, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapeutic Space With Lara

  • Social Worker
  • Portland, ME
  • NPI 1891525622
  NPD Authorized official
• Lamp Inc

  dba Lamp Community Wellness Center

  • Case Management Agency
  • Los Angeles, CA
  • NPI 1043344054
  NPD (past)

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1093185506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 DOUGLAS MTN RD",
            "city": "SEBAGO",
            "state": "ME",
            "postal_code": "040293122",
            "telephone_number": "207-939-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022324",
            "telephone_number": "207-939-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDENSON",
        "first_name": "LARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC23898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffroy I. Noonan, DO
• John Noonan Jr., PA-C
• Vincent Noori, M.D.
• Kim P Norbert, M.S., R.D., L.D.
• Jenna Elizabeth Nordberg, COTA/L
• David Norman, LMSW-CC
• Mer Cie Jeannette Normand, OT137
• Katherine Waye Norris, CCC-SLP
• Kathleen A Norris, DC
• North Deering Dental Assoc Inc

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

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