Individual provider Active NPI

Lara Nicole Novinski, LCSW

  • Clinical Social Worker
  • Wallingford, CT
National Provider Identifier
1629882030
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
014110 Issued in CT
Practice address
35 Thorpe Ave Ste 104
Wallingford, CT 06492-1948
Phone
(860) 575-4957
NPI assigned
Feb 5, 2025
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW04279 RI
Clinical Social Worker 1041C0700X LC24378 ME
Clinical Social Worker 1041C0700X 014110 CT Primary

Addresses

Primary practice location

35 Thorpe Ave Ste 104
Wallingford, CT 06492-1948

Mailing address

35 Thorpe Ave Ste 104
Wallingford, CT 06492-1948
Phone (860) 575-4957

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
I20250917004635 CT Practitioner - Clinical Social Worker 6305340886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ria Health PCGroup PAC ID 6204235682, 16 clinicians

Practice addresses (Care Compare)

Chester, CT 06412
Phone (888) 964-8216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014110CTMDClinical Social Worker
LC24378MEMDClinical Social Worker
ISW04279RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ria Health PC CurrentSince Sep 10, 2025 Accepting new patients

Locations

2389 Main St
Ste 100
Glastonbury, CT 06033
Phone (203) 521-6560

415 Congress St
Ste 202A
Portland, ME 04101
Phone (207) 600-5339

47 Wood Ave
Ste 2
Barrington, RI 02806
Phone (401) 217-2388

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": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1629882030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 THORPE AVE STE 104",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921948",
            "telephone_number": "860-575-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 THORPE AVE STE 104",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921948",
            "telephone_number": "860-575-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVINSKI",
        "first_name": "LARA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04279",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC24378",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "014110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.