Active NPI
Lara Nicole Novinski, LCSW
- Clinical Social Worker
- Wallingford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 014110
- Practice address
- 35 Thorpe Ave Ste 104
Wallingford, CT 06492-1948 - Phone
- (860) 575-4957
- NPI assigned
- Feb 5, 2025
- Last updated
- Feb 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
Chester, CT 06412
Phone (888) 964-8216
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014110 | CT | MD | Clinical Social Worker |
| LC24378 | ME | MD | Clinical Social Worker |
| ISW04279 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ria Health PC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.