Active NPI
Laura Lynn Kohley, LCSW
- Clinical Social Worker
- Sandy Hook, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007406
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007406 | Other | CT | STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH |
| 075639 | Other | NY | LCSW |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Renaissance, Inc. | Current | Accepting new patients | |
| Connecticut Renaissance, Inc. | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Waterbury, CT
- NPI 1700352721
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Stamford, CT
- NPI 1700893807
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.