Individual provider Active NPI

Laura Lynn Kohley, LCSW

  • Clinical Social Worker
  • Sandy Hook, CT
National Provider Identifier
1992961627
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007406 Issued in CT
Practice address
9 Grace Moore Rd
Sandy Hook, CT 06482-1603
Phone
(203) 616-0606
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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 007406 CT Primary

Addresses

Primary practice location

9 Grace Moore Rd
Sandy Hook, CT 06482-1603

Mailing address

9 Grace Moore Rd
Sandy Hook, CT 06482-1603
Phone (203) 616-0606

Other identifiers 2

IdentifierTypeStateIssuer
007406OtherCTSTATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
075639OtherNYLCSW

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
I20250211002165 CT Practitioner - Clinical Social Worker 0143271692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Waterview Dr
Suite 202
Shelton, CT 06484-4368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Renaissance, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Connecticut Renaissance, Inc. Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 29, 2025 Accepting new patients

Locations

1126 Main St
Bridgeport, CT 06604
Phone (203) 331-1503

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

4 Byington Pl
Norwalk, CT 06850
Phone 20333652252108

1 Waterview Dr
Ste 202
Shelton, CT 06484
Phone (203) 336-5225

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1992961627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GRACE MOORE RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821603",
            "telephone_number": "203-616-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GRACE MOORE RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821603",
            "telephone_number": "203-616-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLEY",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "007406",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "075639",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Hook, CT

Sources for this page

Verify at the official NPI Registry.