Ruth P Lallier, LCSW
Individual provider Active NPI Social Worker · Winsted, CT
NPI 1245396282 · NPPES record last updated Jun 3, 2010
Key facts
- NPI
- 1245396282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 003085 (CT)
- Practice address
- 214 Wallens Hill
Winsted, CT 06098-0098 - Phone
- (860) 379-6015
- Fax
- (860) 379-6016
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003085 | CT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities, Inc. - Archdiocese of Hartford | Past |
Accepting new patients | |
| Catholic Charities, Inc. - Archdiocese of Hartford | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/ccaoh/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 003085 | CT | Yes |
Addresses
Primary practice location
214 Wallens Hill
Winsted, CT 06098-0098
Mailing address
PO Box 98
214 Wallens Hill
Winsted, CT 06098-0098
Phone (860) 379-6015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140003085CT02 | Other | CT | BCBS |
| 186568 | Other | CT | MHN |
Other providers in Winsted, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.