Individual provider Active NPI

Lori A Perry, LCSW

  • Clinical Social Worker
  • Groton, CT
National Provider Identifier
1275034456
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10081 Issued in CT
Practice address
1 Fort Hill Road
Suite 3
Groton, CT 06340
Phone
(860) 552-7811
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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 10081 CT Primary

Addresses

Primary practice location

1 Fort Hill Road
Suite 3
Groton, CT 06340

Mailing address

1 Fort Hill Road
Groton, CT 06340-2740
Phone (860) 552-7811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 21, 2025 through Nov 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Resolution LLC Clinical CurrentSince Oct 16, 2022 Accepting new patients

Locations

1057 Poquonnock Rd
Groton, CT 06340
Phone (860) 445-4148

1 Fort Hill Rd
Ste 3
Groton, CT 06340
Phone (860) 440-6201

1 Fort Hill Rd
Groton, CT 06340
Phone (860) 415-4551

Interoperability endpoints

  • Direct secure messaging: loria.desbonnet@xdr.hhchealthdirect.org

Organizations & group practices 1

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1275034456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORT HILL ROAD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402740",
            "telephone_number": "860-552-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORT HILL ROAD",
            "address_2": "SUITE 3",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "06340",
            "telephone_number": "860-552-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

Verify at the official NPI Registry.