Individual provider Active NPI

Laura J Trigila, LCSW

  • Clinical Social Worker
  • East Haven, CT
National Provider Identifier
1285883082
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007408 Issued in CT
Practice address
36 Main St Unit 8
East Haven, CT 06512-2524
Phone
(860) 989-9504
Fax
(203) 672-1813
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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 007408 CT Primary

Addresses

Primary practice location

36 Main St Unit 8
East Haven, CT 06512-2524

Mailing address

38 Woodhaven Rd
Rocky Hill, CT 06067-1045
Phone (860) 989-9504

Other identifiers 2

IdentifierTypeStateIssuer
004235918MedicaidCT
1285883082MedicaidCT

Other names 1

  • Laura J Petrossi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000180 CT Practitioner - Clinical Social Worker 8325222631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

36 Main St
Unit 8
East Haven, CT 06512-2524
Phone (860) 989-9504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007408CTMDClinical Social Worker
7408CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Healing Clinical Services LLC Clinical CurrentSince Jul 1, 2016 Accepting new patients
Yale New Haven Hospital CurrentSince Sep 1, 2015 Accepting new patients
New England Health and Recovery LLC PastSince May 14, 2016 Accepting new patients

Locations

36 Main St
Ste 8
East Haven, CT 06512
Phone (860) 989-9504

30 Main St
East Haven, CT 06512
Phone (860) 961-0785

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1285883082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WOODHAVEN RD",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671045",
            "telephone_number": "860-989-9504",
            "fax_number": "203-891-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MAIN ST UNIT 8",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122524",
            "telephone_number": "860-989-9504",
            "fax_number": "203-672-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIGILA",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235918",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285883082",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "PETROSSI",
            "middle_name": "J",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Haven, CT

Sources for this page

Verify at the official NPI Registry.