Laura Kay Perednia, LCSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007769 Issued in CT

Practice address

301 Country Club Rd
Avon, CT 06001-2516

Phone

(860) 673-8610

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1851874192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SILVER ST",
            "city": "NORTH GRANBY",
            "state": "CT",
            "postal_code": "060601508",
            "telephone_number": "860-817-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 COUNTRY CLUB RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012516",
            "telephone_number": "860-673-8610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Poquonock Ave",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CT",
            "postal_code": "060952551",
            "country_code": "US",
            "telephone_number": "860-688-9621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREDNIA",
        "first_name": "LAURA",
        "middle_name": "KAY",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116255",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Sarkisian Pecevich, APRN
• Emily Peck, LMFT
• Pediatric Dental Center of Avon, LLC
• Yolanda M Pena, MD
• Peoplesdental, P.C.
• Jacqueline Nicole Perez, PA
• Kenneth Perks, M.D.
• Tiffany T Perri, O.D.
• Kathryn Michelle Perrone, PT, DPT
• Sasha Perry, PMHNP

• Clinical Social Worker in Avon, CT
• Providers in Avon, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.