Individual provider Active NPI

Lauren Millerd, LCSW, LICSW

  • Clinical Social Worker
  • Manchester, CT
National Provider Identifier
1326589847
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009751 Issued in CT
Practice address
341 E Center St Ste 255
Manchester, CT 06040-4484
Phone
(860) 796-6695
NPI assigned
Mar 16, 2017
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 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 009751 CT Primary

Addresses

Primary practice location

341 E Center St Ste 255
Manchester, CT 06040-4484

Mailing address

341 E Center St
Ste 255
Manchester, CT 06040-4484
Phone (860) 933-0205

Other identifiers 1

IdentifierTypeStateIssuer
008100109MedicaidCT

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
I20170410002617 CT Practitioner - Clinical Social Worker 4082990890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

341 E Ctr St
Manchester, CT 06040-4484
Phone (860) 796-6695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009751CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. CurrentSince Mar 23, 2017 Accepting new patients
Intercommunity, Inc. CurrentSince Mar 23, 2017 Accepting new patients
Just Therapy, LLC Clinical CurrentSince Jan 7, 2021 Accepting new patients

Locations

281 Main St
East Hartford, CT 06118
Phone (860) 291-1335

16 Coventry St
Hartford, CT 06112
Phone (860) 714-3701

800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451

341 E Center St
Ste 255
Manchester, CT 06040
Phone (860) 796-6695

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, 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": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1326589847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E CENTER ST",
            "address_2": "STE 255",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404484",
            "telephone_number": "860-933-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E CENTER ST STE 255",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404484",
            "telephone_number": "860-796-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLERD",
        "first_name": "LAUREN",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008100109",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.