Individual provider Active NPI

Lisa Marie Zurolo, LCSW

  • Clinical Social Worker
  • Naugatuck, CT
National Provider Identifier
1497178677
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005576 Issued in CT
Practice address
175 Church St
Suite 202
Naugatuck, CT 06770-4180
Phone
(203) 723-8546
NPI assigned
Jan 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005576 CT Primary

Addresses

Primary practice location

175 Church St
Suite 202
Naugatuck, CT 06770-4180

Mailing address

175 Church St
Suite 202
Naugatuck, CT 06770-4180
Phone (203) 723-8546

Other names 1

  • Miss Lisa Marie Di Beneditto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005576CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Pathways Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1497178677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CHURCH ST",
            "address_2": "SUITE 202",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704180",
            "telephone_number": "203-723-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CHURCH ST",
            "address_2": "SUITE 202",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704180",
            "telephone_number": "203-723-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUROLO",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DI BENEDITTO",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": ".LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naugatuck, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.