Laura Mutrie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

30 Elizabeth St
3Rd Floor
Derby, CT 06418-1802

Phone

(203) 954-0543

Fax

(203) 954-0544

NPI assigned

Oct 7, 2008

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

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

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Acorn Center for Wellness LLCGroup PAC ID 2264972090, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Acorn Center for Wellness LLC

  • Marriage & Family Therapist
  • Farmington, CT
  • NPI 1417387150
  Medicare reassignment Care Compare group NPD
• Lower Naugatuck Valley Parent Child Resource Center, Inc.

  • Mental Health Counselor
  • Derby, CT
  • NPI 1285610584
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1659522720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ELIZABETH ST",
            "address_2": "3RD FLOOR",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181802",
            "telephone_number": "203-954-0543",
            "fax_number": "203-954-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ELIZABETH ST",
            "address_2": "3RD FLOOR",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181802",
            "telephone_number": "203-954-0543",
            "fax_number": "203-954-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTRIE",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emad Munir, M.D
• Julieta Maria Munoz Mejia, MBBS
• Robin Murdock, APRN
• Janycemary Murphy, LCSW
• Raoul Joseph Muszynski, MS, LADC, LPC
• Francis Method Mwimanzi, MD
• Haq Nawaz, M.D.
• Muhammad Umair Nawaz, M.D.
• Neelima Kaushal, LLC
• Linda Nevins, APRN

• Clinical Social Worker in Derby, CT
• Providers in Derby, 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 7, 2008; 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.

Verify at the official NPI Registry.