Laura Anne Manderino, M.A.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

139 Evelyn St
Oakville, CT 06779-2243

Phone

(203) 592-7898

NPI assigned

Jun 8, 2012

Last updated

Jun 8, 2012By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past) Authorized official
• Watertown Wellness Center LLC

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  • NPI 1396232187
  NPD (past) Authorized official

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1780946574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 EVELYN ST",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "067792243",
            "telephone_number": "203-592-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 EVELYN ST",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "067792243",
            "telephone_number": "203-592-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDERINO",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin A Losee, MS CCC-SLP
• Marianne Lusk, SLP
• Crystal A. Macdonald
• Doreen Malangko
• Heather C Malsin, SLP
• Stephen Martin, RPH
• Mindful Healing LLC
• Stephanie Ann Miranda
• Stacia Montague, MSW, BSW,LMSW, LCSW
• Karen Marie Newsome

• Counselor in Oakville, CT
• Providers in Oakville, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.