Anna Louise Lawrence, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW26759 Issued in ID

Practice address

207 Larkspur St
Ponderay, ID 83852-5011

Phone

(208) 255-3314

Fax

(208) 263-4198

NPI assigned

Mar 18, 2016

Last updated

Mar 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Idaho Dept of Health & Welfare Reg 1 Ahm PSR Sandpoint

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponderay, ID
  • NPI 1417084716
  NPD (past)
• Idaho Dept of Health & Welfare Reg 1 Amh Clinic Sandpoint

  • Adult Mental Health Clinic/Center
  • Ponderay, ID
  • NPI 1467589184
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1003277039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 N AINSWORTH DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838357987",
            "telephone_number": "208-277-5114",
            "fax_number": "208-263-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 LARKSPUR ST",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838525011",
            "telephone_number": "208-255-3314",
            "fax_number": "208-263-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "ANNA",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW26759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SW LICENSE",
            "identifier": "LCSW26759",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittnie N Kohler
• Linsey Ladonna Kucherry
• Adam Kusler, LCSW
• Jordan Lande, LCSW
• Elizabeth Larsen, B.S.
• Ryan Leisy, D.C.
• Lincare Inc
• Alice Loraine, DPT, OMS
• Benjamin Lusk, DPT
• Adelaida Mahler, LMT

• Clinical Social Worker in Ponderay, ID
• Providers in Ponderay, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.