Organization Active NPI

Lou Ann Baylock,LLC

  • Clinical Social Worker
  • Middletown, CT
National Provider Identifier
1255527602
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005189 Issued in CT
Legal business name
LOU ANN BAYLOCK,LLC
Practice address
193 Main St
Middletown, CT 06457-3423
Phone
(860) 343-0321
Fax
(860) 343-0321
NPI assigned
Sep 19, 2007
Last updated
Oct 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Ms. Louise Ann Baylock, LCSW
Title
Owner/Therapist
Phone
(860) 343-0321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005189 CT Primary

Addresses

Primary practice location

193 Main St
Middletown, CT 06457-3423

Mailing address

193 Main St
Middletown, CT 06457-3423
Phone (860) 343-0321

Other identifiers 1

IdentifierTypeStateIssuer
004246668-00MedicaidCT

National Provider Directory

National Provider Directory

Locations

193 Main St
Middletown, CT 06457
Phone (860) 343-0321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1255527602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573423",
            "telephone_number": "860-343-0321",
            "fax_number": "860-343-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573423",
            "telephone_number": "860-343-0321",
            "fax_number": "860-343-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOU ANN BAYLOCK,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "BAYLOCK",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "860-343-0321",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004246668-00",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.