Individual provider Active NPI

Lauri Levitt

  • Social Worker
  • Westport, CT
National Provider Identifier
1679975296
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
54 Compo Mill CV
Westport, CT 06880-6612
Phone
(203) 454-3337
NPI assigned
Sep 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

54 Compo Mill CV
Westport, CT 06880-6612

Mailing address

54 Compo Mill CV
Westport, CT 06880-6612
Phone (203) 454-3337

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
I20180209002013 CT Practitioner - Clinical Social Worker 4688934763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Coastal Connecticut Counseling LLCGroup PAC ID 8527361161, 9 clinicians

Practice addresses (Care Compare)

2960 Post Rd
Suite 3B2
Southport, CT 06890-1268
Phone (203) 307-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Connecticut Counseling LLC CurrentSince Jan 18, 2018 Accepting new patients

Locations

1 Eliot Pl
Ste 3
Fairfield, CT 06824

1 Eliot Pl
#3C
Fairfield, CT 06824

2960 Post Rd
Ste 3B2
Southport, CT 06890
Phone (203) 307-3030

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1679975296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 COMPO MILL CV",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068806612",
            "telephone_number": "203-454-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 COMPO MILL CV",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068806612",
            "telephone_number": "203-454-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITT",
        "first_name": "LAURI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.