Laura Burtt Hetherington, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

11 Main St Ste 11-211a
Mystic, CT 06355-3654

Phone

(860) 415-6165

Fax

(860) 701-3776

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Summit Counseling LLC

  • Clinical Social Worker
  • Stonington, CT
  • NPI 1639525579
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1649288655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 AL HARVEY RD",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063781902",
            "telephone_number": "860-917-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAIN ST STE 11-211A",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063553654",
            "telephone_number": "860-415-6165",
            "fax_number": "860-701-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETHERINGTON",
        "first_name": "LAURA",
        "middle_name": "BURTT",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lucille Hanscom, PHD
• Natanielle Rae Hatfield, BCBA
• Annette Lupinacci Headley, M.D.
• Paul Healey Sr.
• Jolene Hester
• Christopher Hillery
• Craig A Holch, MA
• Cynthia Holliday, PT
• Tracy A Hooper, PT
• Rachel Quinn Howard, PHARMD

• Clinical Social Worker in Mystic, CT
• Providers in Mystic, 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 Dec 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.