Individual provider Active NPI

Lorraine Ann Castronova, LCSW

  • Mental Health Counselor
  • Branford, CT
National Provider Identifier
1689420259
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8402 Issued in CT
Practice address
100 Double Beach Rd
Branford, CT 06405-4909
Phone
(203) 315-7962
Fax
(203) 655-3452
NPI assigned
Apr 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8402 CT Primary

Addresses

Primary practice location

100 Double Beach Rd
Branford, CT 06405-4909

Mailing address

100 Double Beach Rd
Branford, CT 06405-4909
Phone (203) 315-7962

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1689420259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOUBLE BEACH RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054909",
            "telephone_number": "203-315-7962",
            "fax_number": "203-655-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOUBLE BEACH RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054909",
            "telephone_number": "203-315-7962",
            "fax_number": "203-655-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRONOVA",
        "first_name": "LORRAINE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "8402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.