Individual provider Active NPI

Laura Taets, LCSW

  • Clinical Social Worker
  • Westport, CT
National Provider Identifier
1982213500
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11077 Issued in CT
Practice address
40 Reichert Cir
Westport, CT 06880-2643
Phone
(703) 862-0176
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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 11077 CT Primary

Addresses

Primary practice location

40 Reichert Cir
Westport, CT 06880-2643

Mailing address

40 Reichert Cir
Westport, CT 06880-2643
Phone (703) 862-0176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Turns LLC Clinical CurrentSince Aug 2, 2020 Accepting new patients

Locations

606 Post Rd E
#568
Westport, CT 06880
Phone (203) 690-2132

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1982213500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 REICHERT CIR",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802643",
            "telephone_number": "703-862-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 REICHERT CIR",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802643",
            "telephone_number": "703-862-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAETS",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.