Active NPI
Lauren A Vernaglia, LCSW
- Clinical Social Worker
- Bloomfield, CT
National Provider Identifier
1104910801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 006123
- Practice address
- 693 Bloomfield Ave
Bloomfield, CT 06002-2489 - Phone
- (860) 243-6584
- Fax
- (860) 243-6591
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006123 | CT | Primary |
Addresses
Primary practice location
693 Bloomfield Ave
Bloomfield, CT 06002-2489
Mailing address
79 Beechwood Lane
Bristol, CT 06010
Phone (860) 585-5459
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 |
|---|---|---|---|
| 6123 | CT | MD | Professional Counselor |
| 006123 | CT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1104910801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 BEECHWOOD LANE",
"city": "BRISTOL",
"state": "CT",
"postal_code": "06010",
"telephone_number": "860-585-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "693 BLOOMFIELD AVE",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060022489",
"telephone_number": "860-243-6584",
"fax_number": "860-243-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNAGLIA",
"first_name": "LAUREN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "006123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.