Organization Active NPI

Laura M. Shires, LCSW, LLC

  • Clinical Social Worker
  • Old Saybrook, CT
National Provider Identifier
1841661469
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005557 Issued in CT
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.