Individual provider Active NPI

Laura Hart, LCSW

  • Clinical Social Worker
  • Westport, CT
National Provider Identifier
1861794364
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007177 Issued in CT
Practice address
943 Post Rd E Ste 2
Westport, CT 06880-5362
Phone
(203) 551-4299
NPI assigned
Dec 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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 007177 CT Primary

Addresses

Primary practice location

943 Post Rd E Ste 2
Westport, CT 06880-5362

Mailing address

67 Glen Rd
Redding, CT 06896-2324
Phone (203) 551-4299

Other identifiers 1

IdentifierTypeStateIssuer
0007177OtherCTSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110225000566 CT Practitioner - Clinical Social Worker 5799966511 Reassigns benefits to 1 organization
Practice locations: Westport, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emh Family Services PCGroup PAC ID 9931561982, 27 clinicians

Practice addresses (Care Compare)

55 Walls Dr
Suite 206
Fairfield, CT 06824-5180
Phone (203) 689-8989

67 Glen Rd
Redding, CT 06896-2324

943 Post Rd E
Suite 2
Westport, CT 06880-5362
Phone (203) 551-4299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007177CTMDClinical Social Worker
7177CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Family Services PC CurrentSince Aug 22, 2023 Accepting new patients
Waterbury Hospital Past Accepting new patients

Locations

55 Walls Dr
Ste 206
Fairfield, CT 06824
Phone (203) 635-5776

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": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1861794364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 GLEN RD",
            "city": "REDDING",
            "state": "CT",
            "postal_code": "068962324",
            "telephone_number": "203-551-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 POST RD E STE 2",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805362",
            "telephone_number": "203-551-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0007177",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.