Individual provider Active NPI

Lisa Rose Cormier, MSW

  • Clinical Social Worker
  • Cheshire, CT
National Provider Identifier
1356063846
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14441 Issued in CT
Practice address
195 S Main St Ste 205
Cheshire, CT 06410-3171
Phone
(203) 587-3742
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 14441 CT Primary

Addresses

Primary practice location

195 S Main St Ste 205
Cheshire, CT 06410-3171

Mailing address

195 S Main St Ste 205
Cheshire, CT 06410-3171
Phone (203) 587-3742

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
I20250314001029 CT Practitioner - Clinical Social Worker 8820510225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance - Psychology Advocacy and Support LLCGroup PAC ID 8527441252, 5 clinicians

Practice addresses (Care Compare)

1393 Diamond Hill Rd
Cheshire, CT 06410-1899

191 S Main St
Suite 5
Cheshire, CT 06410-2408
Phone (203) 587-3742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance - Psychology Advocacy & Support LLC CurrentSince Jan 9, 2025 Accepting new patients
CT Clinical Services, Inc. PastSince Sep 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1356063846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S MAIN ST STE 205",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103171",
            "telephone_number": "203-587-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S MAIN ST STE 205",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103171",
            "telephone_number": "203-587-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "LISA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.