Individual provider · Type 1 NPI

Nicole Rose Lara, LCSW

Clinical Social Worker · Stratford, CT

NPI number 1124963715 Active

Practice location

305 Boston Ave
Stratford, CT 06614-5256

Call (718) 810-1349 Map

Other practice locations

  • 982 E Main St Fl 2, Bridgeport, CT 06608-1913 · (718) 810-1349

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X16718 (CT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1124963715

Nicole Rose Lara, LCSW's National Provider Identifier is 1124963715, issued on Apr 21, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stratford, CT. The record was last updated on Apr 21, 2026.