Active NPI
Laura Coffin, M.S.W., L.C.S.W.
- Clinical Social Worker
- Newtown, CT
National Provider Identifier
1265853196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004223
- Practice address
- 19 Wills Rd
Newtown, CT 06470-2232 - Phone
- (203) 927-6761
- NPI assigned
- Dec 19, 2013
- Last updated
- Dec 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004223 | CT | Primary |
Addresses
Primary practice location
19 Wills Rd
Newtown, CT 06470-2232
Mailing address
30 Mountain Edge CT
Cheshire, CT 06410-2638
Phone (203) 927-6761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 19, 2021 through Jan 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4223 | CT | MD | Professional Counselor |
| 004223 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1265853196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MOUNTAIN EDGE CT",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102638",
"telephone_number": "203-927-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WILLS RD",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064702232",
"telephone_number": "203-927-6761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFIN",
"first_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "M.S.W., L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-19",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "004223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown, CT
- Church Hill Physical Therapy Inc
- Roy Joseph Ciarlo, PHARMACIST
- Miluska Valeria Ciurlizza
- Katina C Clarke, LMT/EMT/MMP
- CMC Physical Therapy (Pediatric Therapy Associates)
- Community Health Associates, LLC
- Deidre Marie Condon, DMD
- Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy # 01897)
- Giovanni Cono, DDS
- Maura Conway, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.