Active NPI
Charlotte Henning Laforest
- Social Worker
- South Windsor, CT
National Provider Identifier
1407689771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10116
- Practice address
- 435 Buckland Rd
South Windsor, CT 06074-3720 - Phone
- (860) 322-6392
- NPI assigned
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 230216 | MA | |
| Social Worker | 104100000X | 10116 | CT | Primary |
Addresses
Primary practice location
435 Buckland Rd
South Windsor, CT 06074-3720
Mailing address
30 Warren Ter
Longmeadow, MA 01106-1349
Other names 1
- Charlotte Louise Henning
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
435 Buckland Rd
South Windsor, CT 06074-3781
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230216 | MA | MD | Social Worker |
| 10116 | CT | MD | Nurse Practitioner |
Organizations & group practices 1
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.
-
- Professional Counselor
- Enfield, CT
- NPI 1962631663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1407689771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 WARREN TER",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 BUCKLAND RD",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060743720",
"telephone_number": "860-322-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFOREST",
"first_name": "CHARLOTTE",
"middle_name": "HENNING",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-22",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "230216",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "10116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLOTTE",
"last_name": "HENNING",
"middle_name": "LOUISE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.