Individual provider Active NPI

Lili Daoud, LCSW

  • Clinical Social Worker
  • Avon, CT
National Provider Identifier
1497819015
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005394 Issued in CT
Practice address
195 W Main St
Suite 6
Avon, CT 06001-3685
Phone
(860) 677-2991
Fax
(860) 677-6178
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 005394 CT Primary

Addresses

Primary practice location

195 W Main St
Suite 6
Avon, CT 06001-3685

Mailing address

28 Ayrshire LN
Avon, CT 06001-2102
Phone (860) 676-1239

Other identifiers 5

IdentifierTypeStateIssuer
598297000OtherCTMAGELLAN
322617OtherCTHEALTH NET
140005394CT01OtherCTANTHEM
22771OtherCTMHN
598297000OtherCTAETNA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
005394CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Cognitive Therapy Clinical PastSince Jan 1, 1990 Accepting new patients
Connecticut Surgeons, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497819015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 AYRSHIRE LN",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012102",
            "telephone_number": "860-676-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W MAIN ST",
            "address_2": "SUITE 6",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013685",
            "telephone_number": "860-677-2991",
            "fax_number": "860-677-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAOUD",
        "first_name": "LILI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "598297000",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "322617",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140005394CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "22771",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "598297000",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.