Individual provider Active NPI

Laura Magda Chomentowski, LCSW

  • Clinical Social Worker
  • Meriden, CT
National Provider Identifier
1801658703
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006343 Issued in CT
Practice address
384 Pratt St
Meriden, CT 06450-8627
Phone
(203) 235-5767
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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 006343 CT Primary

Addresses

Primary practice location

384 Pratt St
Meriden, CT 06450-8627

Mailing address

36 Russell St
Hamden, CT 06517-2015
Phone (860) 798-6875

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
006343CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Guidance Clinic for Central Connecticut, Inc CurrentSince Feb 27, 2025 Accepting new patients
Community Guidance Clinic for Central Connecticut, Inc PastSince Jan 28, 2024 Accepting new patients

Locations

384 Pratt St
Meriden, CT 06450
Phone (203) 235-5767

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": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1801658703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 RUSSELL ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172015",
            "telephone_number": "860-798-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 PRATT ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508627",
            "telephone_number": "203-235-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOMENTOWSKI",
        "first_name": "LAURA",
        "middle_name": "MAGDA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.