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NICOLE ROSE LARA LCSW
NPI 1124963715
Social Worker - Clinical in Stratford, CT

Active since April 21, 2026PECOS Enrolled
305 BOSTON AVE, STRATFORD, CT 06614(718) 810-1349 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Rose Lara Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ROSE LARA LCSW (NPI 1124963715) is an individual clinical provider in Stratford, Connecticut, licensed in Connecticut (16718) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bridgeport, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124963715
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE ROSE LARACredential: LCSW
Location Address305 BOSTON AVEStratford, CT 06614-5256
Mailing Address305 Boston AveStratford, CT 06614-5256 · (718) 810-1349
Phone(718) 810-1349
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1124963715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 16718
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
305 BOSTON AVE, Stratford, CT 06614
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Secondary Practice Location 1

Location 1982 E Main St Fl 2Bridgeport, CT 06608-1913 · Phone (718) 810-1349

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Rose Lara Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052881091
PECOS Enrollment IDI20260530000283
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH AUSTIN THOMAS M.D.
Obstetrics & Gynecology
305 BOSTON AVE, SUITE 205
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 377-7670
YALE COMFORT SHOE CENTER LLC
Prosthetic/Orthotic Supplier
305 BOSTON AVE
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 372-7112
KENNETH A. THOMAS MD LLC
Obstetrics & Gynecology
305 BOSTON AVE, SUITE 205
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 377-7670
DR. PATRICIA DILLON RIZZI PSYD
Psychologist (Clinical)
305 BOSTON AVE
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 384-3377
JYLL ROBIN HERZOG SOUTO LCSW
Social Worker
305 BOSTON AVE
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 384-3377
KRYSTAL CECILIO LCSW
Social Worker
305 BOSTON AVE
STRATFORD, CT 06614
Greater Bridgeport Planning Region (475) 422-6527
MARY SUSAN HUNGERFORD A.P.R.N.
Nurse Practitioner (Psychiatric/Mental Health)
305 BOSTON AVE
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 384-3377
EQUINOX HOME CARE VISITING NURSE AGENCY, INC
Home Health
305 BOSTON AVE, SUITE 302
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 377-5591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Lara's NPI number?

The NPI number for Nicole Lara is 1124963715. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Nicole Lara located?

Nicole Lara practices at 305 Boston Ave, Stratford, CT 06614. The listed phone number is (718) 810-1349.

What is Nicole Lara's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicole Lara enrolled in Medicare?

Yes. Nicole Lara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Lara was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.