Lotus Psychotherapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006974 Issued in CT

Legal business name

LOTUS PSYCHOTHERAPY PLLC

Practice address

6 Thorndal Cir
Darien, CT 06820-5415

Phone

(203) 559-1602

NPI assigned

Oct 27, 2017

Last updated

Oct 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Kucharski Baumgold, LCSWNPI 1013144435

Title

Owner

Phone

(203) 559-1602

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Kucharski Baumgold, LCSW

  • Clinical Social Worker
  • Darien, CT
  • NPI 1013144435
  Authorized official Same address or phone

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1609388818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 THORNDAL CIR",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 THORNDAL CIR",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205415",
            "telephone_number": "203-559-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "BAUMGOLD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KUCHARSKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-559-1602",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008054797",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuen-Jong Liu, M.D.
• Evelyn Linda Llewellyn, PSY.D.
• Jane Marie Loh, M.A., CCC-SLP, COM
• Lotus Counseling of Fairfield County PLLC
• Lotus Psychotherapy of Fairfield County, PLLC
• Marissa Nicole Greco Lowrie, FNP
• Robert James Lucas, MPAS PAC
• Taylor Nicole Lucas
• Alexa Mary Lyvers, MSOT, OTR/L
• Maryjean Macdonald, PSY.D.

• Clinical Social Worker in Darien, CT
• Providers in Darien, 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 27, 2017; 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.