Individual provider Active NPI

Elenor Carine Lauterbach, LCSW

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1790091387
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006654 Issued in CT
Practice address
176 Strawberry Hill Ave
Nathan Hale Middle School
Norwalk, CT 06851-5937
Phone
(203) 899-2910
NPI assigned
Aug 20, 2010
Last updated
Aug 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006654 CT Primary

Addresses

Primary practice location

176 Strawberry Hill Ave
Nathan Hale Middle School
Norwalk, CT 06851-5937

Mailing address

1 Park St
HSC
Norwalk, CT 06851-4841
Phone (203) 849-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006654CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Human Services Council, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1790091387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK ST",
            "address_2": "HSC",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514841",
            "telephone_number": "203-849-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 STRAWBERRY HILL AVE",
            "address_2": "NATHAN HALE MIDDLE SCHOOL",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515937",
            "telephone_number": "203-899-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTERBACH",
        "first_name": "ELENOR",
        "middle_name": "CARINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.