Individual provider Active NPI

Lisa Lavorgna, LCSW

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1144916206
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12964 Issued in CT
Practice address
95 Circular Ave
Hamden, CT 06514-4004
Phone
(203) 288-6253
Fax
(203) 288-0948
NPI assigned
Apr 12, 2023
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 12964 CT Primary

Addresses

Primary practice location

95 Circular Ave
Hamden, CT 06514-4004

Mailing address

95 Circular Ave
Hamden, CT 06514-4004
Phone (203) 288-6253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612000330 CT Practitioner - Clinical Social Worker 4183081813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

22 Pine St
Suite 104
Bristol, CT 06010-6949
Phone (860) 314-2002

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12964CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Yale University CurrentSince May 22, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 1, 2024 Accepting new patients
Yale University CurrentSince May 22, 2023 Accepting new patients

Locations

22 Pine St
Ste 104
Bristol, CT 06010
Phone (860) 314-2002

95 Circular Ave
Hamden, CT 06514
Phone (203) 288-6253

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Organizations & group practices 4

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": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1144916206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CIRCULAR AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144004",
            "telephone_number": "203-288-6253",
            "fax_number": "203-288-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CIRCULAR AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144004",
            "telephone_number": "203-288-6253",
            "fax_number": "203-288-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVORGNA",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.