Individual provider Active NPI

Lisa Adele Szymanski, LCSW

  • Clinical Social Worker
  • Southport, CT
National Provider Identifier
1871352229
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13813 Issued in CT
Practice address
2960 Post Rd Ste 3B.2
Southport, CT 06890-1268
Phone
(203) 307-3030
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 13813 CT Primary

Addresses

Primary practice location

2960 Post Rd Ste 3B.2
Southport, CT 06890-1268

Mailing address

659 Plattsville Rd
Trumbull, CT 06611-3561
Phone (203) 394-3816

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
13813CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Connecticut Counseling LLC CurrentSince Mar 24, 2024 Accepting new patients

Locations

1 Eliot Pl
Ste 3
Fairfield, CT 06824

2960 Post Rd
Ste 3B2
Southport, CT 06890
Phone (203) 307-3030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1871352229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 PLATTSVILLE RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113561",
            "telephone_number": "203-394-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 POST RD STE 3B.2",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901268",
            "telephone_number": "203-307-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMANSKI",
        "first_name": "LISA",
        "middle_name": "ADELE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.