Active NPI
Laura M. Shires, LCSW, LLC
- Clinical Social Worker
- Old Saybrook, CT
National Provider Identifier
1841661469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005557
- Legal business name
- LAURA M. SHIRES, LCSW, LLC
- Practice address
- 24 Ledge Road
Old Saybrook, CT 06475 - Phone
- (860) 989-0422
- Fax
- (860) 395-0184
- NPI assigned
- Oct 8, 2015
- Organization subpart
- Yes
- Parent organization
- LAURA M. SHIRES, LCSW, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Laura M Shires I, LCSW
- Title
- Psychotherapist
- Phone
- (860) 989-0422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005557 | CT | Primary |
Addresses
Primary practice location
24 Ledge Road
Old Saybrook, CT 06475
Mailing address
24 Ledge Rd
Old Saybrook, CT 06475-2106
Phone (860) 989-0422
Other names 1
- Laura M. Shires, LCSW, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1841661469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 LEDGE RD",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752106",
"telephone_number": "860-989-0422",
"fax_number": "860-395-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 LEDGE ROAD",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "06475",
"telephone_number": "860-989-0422",
"fax_number": "860-395-0184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA M. SHIRES, LCSW, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAURA M. SHIRES, LCSW, LLC",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "SHIRES",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "860-989-0422",
"authorized_official_name_prefix": "Ms.",
"authorized_official_name_suffix": "I",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laura M. Shires, LCSW, LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.