Active NPIIndividual provider

Nicole R Lara, LCSW

Social Worker, Clinical in Stratford, Connecticut

NPI Number1124963715
Practice location
305 Boston Ave, Stratford, CT 06614-5256
Fax
—
Last updated
April 21, 2026

Nicole Rose Lara is a Social Worker, Clinical based in Stratford, CT. Nicole Rose Lara practices in Stratford, CT and has the professional credentials of LCSW. The NPI Number for Nicole Rose Lara is 1124963715 and holds a License No. 16718 (CT). The current practice location address for Nicole Rose Lara is 305 Boston Ave, Stratford, CT 06614-5256 and can be reached out via phone at 718-810-1349.

Provider Profile Details

NPI Number
1124963715
Provider Name
Nicole Rose Lara
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
305 Boston Ave, Stratford, CT 06614-5256
Phone Number
718-810-1349
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 21, 2026
Last Update Date
April 21, 2026
Certification Date
April 21, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
305 Boston Ave
Stratford, CT 06614-5256
Zip
06614-5256
Phone Number
718-810-1349
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
305 Boston Ave
Stratford, CT 06614-5256
City
Stratford
State
CT
Zip
06614-5256
Phone Number
718-810-1349

License Information

License Number
16718
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole R Lara, LCSW?

The NPI number of Nicole R Lara, LCSW is 1124963715. It was assigned on April 21, 2026 and is currently active in the NPPES registry.

What is the specialty of Nicole R Lara, LCSW?

Nicole R Lara, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 16718.

Where does Nicole R Lara, LCSW practice?

The practice location is 305 Boston Ave, Stratford, CT 06614-5256. The office can be reached at 718-810-1349 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124963715 directly on the NPPES registry website.

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