Diane C Lafferty, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5346 Issued in CT

Practice address

27 Siemon Company Dr 111S
Watertown, CT 06795-2654

Phone

(203) 592-4483

Fax

(860) 417-6789

NPI assigned

Jul 24, 2013

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1174965719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SIEMON COMPANY DR 111S",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952654",
            "telephone_number": "203-592-4483",
            "fax_number": "860-417-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SIEMON COMPANY DR 111S",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952654",
            "telephone_number": "203-592-4483",
            "fax_number": "860-417-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "DIANE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "5346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vangjelis Kristollari, PHARMD
• Cathy Kulmann, BCBA
• Kathleen Kwan, PHARMACIST
• Charles Frank Labas Jr., DMD
• Lori Jean Lacaria, PT MS CLT
• Joan Lagno, MS CCC SLP
• Erik P Lanese, A.T.C.
• Maryann Laska, PT ATC
• Ryan Lawlor
• James Lefevre, O.D.

• Clinical Social Worker in Watertown, CT
• Providers in Watertown, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.