Active NPI
Lauren A. Pisano, LCSW
- Clinical Social Worker
- Portland, CT
National Provider Identifier
1093955486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005711
- Practice address
- 3 Quarry LN
Portland, CT 06480-4817 - Phone
- (860) 381-9692
- NPI assigned
- Feb 25, 2009
- Sex
- Female
- Sole proprietor
- No
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5711 | CT | MD | Pharmacist |
| 005711 | CT | MD | Occupational Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005711 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3 Quarry LN
Portland, CT 06480-4817
Mailing address
PO Box 351
River Valley Services
Middletown, CT 06457-7023
Phone (860) 381-9692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2017.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1093955486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 351",
"address_2": "RIVER VALLEY SERVICES",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064577023",
"telephone_number": "860-381-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 QUARRY LN",
"city": "PORTLAND",
"state": "CT",
"postal_code": "064804817",
"telephone_number": "860-381-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISANO",
"first_name": "LAUREN",
"middle_name": "A.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.