MR. MICHAEL GEORGE JR. LAURETTI – Clinical Social Worker, NPI 1013717040

MR. MICHAEL GEORGE JR. LAURETTI is a healthcare provider. based in Woodbury, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 15046 (CT). The NPI Number for MR. MICHAEL GEORGE JR. LAURETTI is 1013717040

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL GEORGE JR. LAURETTI
NPI
1013717040
Phone
(203) 263-3175
Address
670 Main St S
Enumeration Date
18 March 2025
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608100587
Graduation Year
2021 (5 years ago)
PAC ID
4688190689
Group Practice PAC ID
9032528658
Professional Enrollment ID
I20250501002738
Address ID
CT061072311WE125XXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,153 CLINICAL SOCIAL WORKER in CT

Provider Addresses for MR. MICHAEL GEORGE JR. LAURETTI

  • 670 Main St S

    Woodbury, CT 067983738

    Phone: (203) 263-3175

    Type: Location

  • 177 PONDVIEW LN

    BRISTOL, CT 060103087

    Phone: (860) 877-9000

    Type: Mailing

  • 125 LASALLE RD STE 300

    WEST HARTFORD, CT 061072311

    Phone: (860) 986-6626

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250501002738IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06798)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032528658View full group profile
NameSpecialtyState
Mental Health CounselorCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Mental Health CounselorCT
Clinical Social WorkerCT
Clinical Social WorkerCT

Reviews

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Frequently asked questions

What number should I use to identify MR. MICHAEL GEORGE JR. LAURETTI for billing?
Administrative and clinical systems typically use NPI 1013717040 for MR. MICHAEL GEORGE JR. LAURETTI.
Is MR. MICHAEL GEORGE JR. LAURETTI's NPI status active today?
Active status means MR. MICHAEL GEORGE JR. LAURETTI's NPI record is not deactivated in the public file.
Which specialty label fits MR. MICHAEL GEORGE JR. LAURETTI?
NPPES ties MR. MICHAEL GEORGE JR. LAURETTI to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MR. MICHAEL GEORGE JR. LAURETTI?
The directory associates MR. MICHAEL GEORGE JR. LAURETTI with Woodbury, Connecticut. Check all listed addresses for suites or satellite offices.
Why is information missing for MR. MICHAEL GEORGE JR. LAURETTI?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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