Individual provider Active NPI

Nicole Reiser, LCSW

  • Clinical Social Worker
  • Unionville, CT
National Provider Identifier
1679870596
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9151 Issued in CT
Practice address
1686 Farmington Ave Ste 201
Unionville, CT 06085-1279
Phone
(631) 680-0681
NPI assigned
Feb 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1381 CT
Clinical Social Worker 1041C0700X 9151 CT Primary

Addresses

Primary practice location

1686 Farmington Ave Ste 201
Unionville, CT 06085-1279

Mailing address

1121 Windsor Ave
Windsor, CT 06095-3413
Phone (631) 680-0681

Other practice location 1

1680 Albany Ave
Hartford, CT 06105-1001
Phone (860) 236-4511

Other practice location 2

553 Portland Cobalt Rd
Portland, CT 06480-1968
Phone (631) 680-0681

Other names 1

  • Mrs. Nicole Nygard Former name

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
I20240118001440 CT Practitioner - Clinical Social Worker 5193177897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1381CTMDSocial Worker
9151CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Counseling Services LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients
Integrative Wellness Counseling, LLC Clinical CurrentSince Mar 20, 2025 Accepting new patients

Locations

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

553 Portland Cobalt Rd
Portland, CT 06480
Phone (860) 342-0760

1686 Farmington Ave
Ste 201
Unionville, CT 06085
Phone (631) 680-0681

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1679870596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 WINDSOR AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953413",
            "telephone_number": "631-680-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 FARMINGTON AVE STE 201",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851279",
            "telephone_number": "631-680-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 Albany Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061051001",
            "country_code": "US",
            "telephone_number": "860-236-4511",
            "fax_number": "860-231-8449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "553 Portland Cobalt Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "CT",
            "postal_code": "064801968",
            "country_code": "US",
            "telephone_number": "631-680-0681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISER",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "1381",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NYGARD",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Unionville, CT

Sources for this page

Verify at the official NPI Registry.