Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Rose Lara, LCSW

Individual provider Clinical Social Worker · NPI 1124963715

Nicole Rose Lara, LCSW is a Clinical Social Worker in Stratford, Connecticut. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Connecticut.

Years since qualifying
1
Licensed in
CT
In the registry since
2026
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

305 Boston Ave
Stratford, CT 06614-5256
Phone: (718) 810-1349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16718 (CT)

Record details

NPI number1124963715
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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