Individual provider Active NPI

Sara Cyr, LCSW

  • Clinical Social Worker
  • New London, CT
National Provider Identifier
1629878780
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005624 Issued in CT
Practice address
931 Bank St
New London, CT 06320-2702
Phone
(860) 447-2233
NPI assigned
Mar 18, 2025
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 005624 CT Primary

Addresses

Primary practice location

931 Bank St
New London, CT 06320-2702

Mailing address

15 George Dr
Old Saybrook, CT 06475-2636
Phone (860) 805-9267

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250326002024 CT Practitioner - Clinical Social Worker 1355864745 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005624CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Dispensary Multi-Specialty CurrentSince Mar 18, 2025 Accepting new patients

Locations

335 Broad St
Manchester, CT 06040
Phone (860) 643-3200

542 E Main St
New Britain, CT 06051
Phone (860) 827-3313

931 Bank St
New London, CT 06320
Phone (860) 447-2233

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": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1629878780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GEORGE DR",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752636",
            "telephone_number": "860-805-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BANK ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202702",
            "telephone_number": "860-447-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYR",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.