Individual provider Active NPI

Lynly Loffredo, MSW

  • Clinical Social Worker
  • Manchester, NH
National Provider Identifier
1245888973
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2242 Issued in NH
Practice address
195 McGregor St Ste 400
Manchester, NH 03102-3779
Phone
(603) 206-2802
NPI assigned
Aug 27, 2019
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2242 NH Primary

Addresses

Primary practice location

195 McGregor St Ste 400
Manchester, NH 03102-3779

Mailing address

16 Deer Run Rd
North Hampton, NH 03862-2042
Phone (603) 964-7686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230802002557 NH Practitioner - Clinical Social Worker 8325409675 Reassigns benefits to 1 organization
I20250925003573 MA Practitioner - Clinical Social Worker 8325409675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

3907 Claiborne Cir
Montgomery, AL 36116-8801

40 Shattuck Rd
Suite 250
Andover, MA 01810-2432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2242NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Sep 12, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince Sep 12, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Current Accepting new patients

Locations

40 Shattuck Rd
Ste 250
Andover, MA 01810
Phone (401) 595-2982

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1245888973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DEER RUN RD",
            "city": "NORTH HAMPTON",
            "state": "NH",
            "postal_code": "038622042",
            "telephone_number": "603-964-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MCGREGOR ST STE 400",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023779",
            "telephone_number": "603-206-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFFREDO",
        "first_name": "LYNLY",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.