Louis D'Amora, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009852 Issued in CT

Practice address

57 Clark Ave
North Haven, CT 06473-3603

Phone

(475) 224-6312

Fax

(203) 495-9155

NPI assigned

Aug 22, 2017

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Behavioral Health and Wellness Solutions of CT, LLC

  • Clinical Social Worker
  • Hamden, CT
  • NPI 1114479888
  Medicare reassignment

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526169600000",
    "number": "1477079499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CLARK AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733603",
            "telephone_number": "475-224-6312",
            "fax_number": "203-495-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CLARK AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733603",
            "telephone_number": "475-224-6312",
            "fax_number": "203-495-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMORA",
        "first_name": "LOUIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2018-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Cusano, APRN
• Matthew Richard Cyr
• Agnes Czibulka, M.D.
• D and M Comfort and Care, LLC
• D'Agostino Family Dental, LLC
• Matthew Michael D'Angelo, DPM
• Rachelle D'Angelo, APRN
• Sierra Danahey
• Melissa Danielson
• Maryanne Davidson, DNSC, APRN, CPNP

• Clinical Social Worker in North Haven, CT
• Providers in North Haven, 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 May 13, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.