Healthcare Provider Details

I. General information

NPI: 1437030327
Provider Name (Legal Business Name): LAURA MOEHRINGER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 MUNSON RD
FARMINGTON CT
06030-2012
US

IV. Provider business mailing address

5 MUNSON RD
FARMINGTON CT
06030-2012
US

V. Phone/Fax

Practice location:
  • Phone: 860-679-2197
  • Fax: 860-679-0131
Mailing address:
  • Phone: 860-679-2197
  • Fax: 860-679-0131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number010623
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: