Organization Active NPI

Ellen T. Lacko,MSW,LCSW,LLC

  • Clinical Social Worker
  • Newtown, CT
National Provider Identifier
1396151379
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003021 Issued in CT
Legal business name
ELLEN T. LACKO,MSW,LCSW,LLC
Practice address
8 W Farm Ridge Rd
Newtown, CT 06470-2408
Phone
(203) 733-0136
NPI assigned
Jul 10, 2014
Last updated
Jul 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Ellen T. Lacko, MSW, LCSWNPI 1174947147
Title
Social Worker
Phone
(203) 733-5529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003021 CT Primary

Addresses

Primary practice location

8 W Farm Ridge Rd
Newtown, CT 06470-2408

Mailing address

6527 Main St
Trumbull, CT 06611-1385
Phone (203) 733-5529

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1396151379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6527 MAIN ST",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111385",
            "telephone_number": "203-733-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W FARM RIDGE RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702408",
            "telephone_number": "203-733-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN T. LACKO,MSW,LCSW,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "LACKO",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "203-733-5529",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.