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NPI Code Detail

MEDICARE: LORI CASWELL, LCSW, LLC

MEDICARE: LORI CASWELL, LCSW, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker7546CT

General Provider Information

NPI Number : 1558754432
Entity Type Code : Organization
Provider Name (Legal Business Name) : LORI CASWELL, LCSW, LLC
Provider Business Mailing Address
First Line : 9 RUSSELL DR
Second Line :
City : TOLLAND
State : CT
Zip : 06084-3204
Country : US
Telephone Number : 860-538-9551
Fax Number :
Provider Business Practice Location Address
First Line : 200 W CENTER ST STE C3
Second Line :
City : MANCHESTER
State : CT
Zip : 06040-4870
Country : US
Telephone Number : 860-538-9551
Fax Number :
Authorized Official
Title or Position : CLINICIAN
Name : LORI ANN MARIE ROSSITTO
Credential : LCSW
Telephone Number : 860-538-9551
Provider Enumeration Date : 03/16/2015
Last Update Date : 05/27/2020

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