Mr Kevin Lardner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Southington, Connecticut. His current practice location is
1783 Meriden Waterbury Turnpike, Suite K 11, Southington, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 404-1010.
Mr Kevin Lardner is licensed to practice in Connecticut (license number 10383) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225443856.
Healthcare Provider's Profile
| Full Name | Mr Kevin Lardner |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1783 Meriden Waterbury Turnpike, Southington, Connecticut |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1225443856
- Provider Enumeration Date: 06/23/2014
- Last Update Date: 01/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 1456693373
- Enrollment ID: I20190425000240
Medical Identifiers
Medical identifiers for Mr Kevin Lardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225443856 | NPI | - | NPPES |
| 004217099 | Medicaid | CT | |
| 004041000 | Medicaid | CT | |
| 008083698 | Medicaid | CT | |
| 008003745 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 10383 (Connecticut) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kevin Lardner allows following entities to bill medicare on his behalf.
| Entity Name | Second Stories Counseling Llp |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1902472541
PECOS PAC ID: 2163818154
Enrollment ID: O20220330002144 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kevin Lardner is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kevin Lardner, LCSW
1 Long Wharf Dr Ste 321,
New Haven, CT 06511-5946
Ph: (203) 781-4600 | Mr Kevin Lardner, LCSW
1783 Meriden Waterbury Turnpike, Suite K 11,
Southington, CT 06489-0268
Ph: (203) 404-1010 |
Reviews and Comments