Jennifer Lawlor LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

005796 Issued in CT

Legal business name

JENNIFER LAWLOR LLC

Practice address

1 Grand St
Bethel, CT 06801-2111

Phone

(203) 628-2379

NPI assigned

Dec 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennife Lawlor, LCSW

Title

Owner

Phone

(203) 628-2379

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1366957284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GRAND ST",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GRAND ST",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012111",
            "telephone_number": "203-628-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER LAWLOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "LAWLOR",
        "authorized_official_first_name": "JENNIFE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-628-2379",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "005796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Bethel, CT
• Providers in Bethel, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.