Individual provider Active NPI

Lauren M. Carbone, LCSW

  • Clinical Social Worker
  • Brookfield, CT
National Provider Identifier
1245893080
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009049 Issued in CT
Practice address
2 Old New Milford Rd Ste 1B
Brookfield, CT 06804-2426
Phone
(203) 775-2583
Fax
(203) 775-2863
NPI assigned
Apr 17, 2019
Last updated
Aug 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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 009049 CT Primary

Addresses

Primary practice location

2 Old New Milford Rd Ste 1B
Brookfield, CT 06804-2426

Mailing address

5 Nutmeg Dr
New Milford, CT 06776-4113
Phone (860) 989-7096

Other practice location 1

70 North St Ste 103
Danbury, CT 06810-5609
Phone (203) 617-8103

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009049CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Power Within Counseling LLC CurrentSince Aug 29, 2021 Accepting new patients
Women's Counseling Center, Inc. Clinical PastSince Aug 29, 2021 Accepting new patients

Locations

70 North St
Ste 103
Danbury, CT 06810
Phone (203) 202-3153

Organizations & group practices 2

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1245893080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NUTMEG DR",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067764113",
            "telephone_number": "860-989-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OLD NEW MILFORD RD STE 1B",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042426",
            "telephone_number": "203-775-2583",
            "fax_number": "203-775-2863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 North St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068105609",
            "country_code": "US",
            "telephone_number": "203-617-8103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "LAUREN",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.