Individual provider Active NPI

Lori Burns-Galdenzi, LCSW

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1609327204
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4336 Issued in CT
Practice address
83 East Ave
Norwalk, CT 06851-4920
Phone
(203) 260-2105
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 4336 CT Primary

Addresses

Primary practice location

83 East Ave
Norwalk, CT 06851-4920

Mailing address

118 Green Knolls LN
Fairfield, CT 06824-3510
Phone (203) 260-2105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 2, 2024 through Jan 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
LBG Therapy, LLC Clinical CurrentSince Aug 1, 2023 Accepting new patients

Locations

9 Berkeley St
Norwalk, CT 06850
Phone (203) 798-0068

83 East Ave
Ste 112
Norwalk, CT 06851
Phone (203) 260-2105

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.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1609327204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 GREEN KNOLLS LN",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243510",
            "telephone_number": "203-260-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514920",
            "telephone_number": "203-260-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS-GALDENZI",
        "first_name": "LORI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "4336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.