Active NPI
Laini Minalga, LCSW
- Clinical Social Worker
- Derby, CT
National Provider Identifier
1275900706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 008994
- Practice address
- 30 Elizabeth Street
Lower Naugatuck Valley Parent Child Resource Center
Derby, CT 06418 - Phone
- (203) 954-0543
- Fax
- (203) 954-0544
- NPI assigned
- Sep 1, 2015
- Last updated
- Sep 1, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 008994 | CT | Primary |
Addresses
Primary practice location
30 Elizabeth Street
Lower Naugatuck Valley Parent Child Resource Center
Derby, CT 06418
Mailing address
30 Elizabeth St
Lower Naugatuck Valley Parent Child Resource Center
Derby, CT 06418-1802
Phone (203) 954-0543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004039541 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 008994 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1275900706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 ELIZABETH ST",
"address_2": "LOWER NAUGATUCK VALLEY PARENT CHILD RESOURCE CENTER",
"city": "DERBY",
"state": "CT",
"postal_code": "064181802",
"telephone_number": "203-954-0543",
"fax_number": "203-954-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 ELIZABETH STREET",
"address_2": "LOWER NAUGATUCK VALLEY PARENT CHILD RESOURCE CENTER",
"city": "DERBY",
"state": "CT",
"postal_code": "06418",
"telephone_number": "203-954-0543",
"fax_number": "203-954-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINALGA",
"first_name": "LAINI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-01",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "008994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004039541",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.