Lora Small, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005691 Issued in CT

Practice address

1400 Whitney Ave
Hamden, CT 06517-2459

Phone

(203) 248-2116

Fax

(203) 248-2572

NPI assigned

Oct 29, 2014

Last updated

Oct 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Peaceful Mind Behavioral Health and Wellness LLCGroup PAC ID 0941683056, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peaceful Mind Behavioral Health & Wellness, LLC

  • Mental Health Counselor
  • Bristol, CT
  • NPI 1255926358

  Clinical

  Medicare reassignment Care Compare group NPD
• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740

  Clinical

  Medicare reassignment NPD
• Sunrise Psychological Services LLC

  • Psychologist
  • Prospect, CT
  • NPI 1699199869
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, CT

  Medicare reassignment NPD
• Helping Hands Behavioral Health and Wellness, LLC

  • Clinical Social Worker
  • Canton, CT
  • NPI 1699405175
  NPD Authorized official
• Peaceful Mind Behavioral Health & Wellness, LLC

  • Mental Health Counselor
  • Bristol, CT
  • NPI 1275321846

  Clinical

  NPD
• The Children's Center of Hamden, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hamden, CT
  • NPI 1215271705
  NPD (past)
• The Children's Center of Hamden, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hamden, CT
  • NPI 1225042542
  NPD (past)

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1437554730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172459",
            "telephone_number": "203-248-2116",
            "fax_number": "203-248-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172459",
            "telephone_number": "203-248-2116",
            "fax_number": "203-248-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "LORA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Skarzynski
• Jennifer A. Skelley, ATC, MED
• Wioletta Skrodzka
• Richard R Slater, MD
• Laurel Nicole Slongwhite, M.D.
• Cheryl Smith, LCSW
• Ethan Bennet Smith, MSW
• Horace Fenton Smith III
• Jeffrey Robert Smith, MD
• Katie Lynn Smith, LCSW

• Clinical Social Worker in Hamden, CT
• Providers in Hamden, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.

Verify at the official NPI Registry.