Active NPI
Laurel Custer
- Clinical Social Worker
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1634 Slaughter Rd Ste C
Madison, AL 35758-5914 - Phone
- (256) 822-2375
- Fax
- (256) 584-2330
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1634 Slaughter Rd Ste C
Madison, AL 35758-5914
Mailing address
251 Johnston St SE Ste 100
Decatur, AL 35601-2515
Phone (256) 822-2375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1634 Slaughter Rd
Suite C
Madison, AL 35758-5914
Phone (256) 822-2375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Counseling & Consulting LLC | Current | Accepting new patients |
Locations
14790 Brownsferry Rd
Athens, AL 35611
Phone (256) 822-2375
251 Johnston St SE
Ste 100
Decatur, AL 35601
Phone (256) 822-2375
16 Moulton St E
Decatur, AL 35601
Phone (256) 822-2375
1634 Slaughter Rd
Ste C
Madison, AL 35758
Phone (256) 822-2375
Networks
- MS PPO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- FL PPO
- TN PPO C-SNP
- TN PPO
- FL HMO D-SNP
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- MS PPO C-SNP
- MS PPO
- AL HMO D-SNP
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- AL HMO
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Decatur, AL
- NPI 1295111557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1003588179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 JOHNSTON ST SE STE 100",
"city": "DECATUR",
"state": "AL",
"postal_code": "356012515",
"telephone_number": "256-822-2375",
"fax_number": "256-584-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 SLAUGHTER RD STE C",
"city": "MADISON",
"state": "AL",
"postal_code": "357585914",
"telephone_number": "256-822-2375",
"fax_number": "256-584-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSTER",
"first_name": "LAUREL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.