Individual provider Active NPI

Trina Marie Laughlin, LCSW

  • Clinical Social Worker
  • Vero Beach, FL
National Provider Identifier
1003932377
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14898 Issued in FL
Practice address
3150 Cardinal Dr Ste 201
Vero Beach, FL 32963-1931
Phone
(772) 321-3239
Fax
(800) 951-3401
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14898 FL Primary

Addresses

Primary practice location

3150 Cardinal Dr Ste 201
Vero Beach, FL 32963-1931

Mailing address

3150 Cardinal Dr Ste 201
Vero Beach, FL 32963-1931
Phone (772) 321-3239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180207000931 FL Practitioner - Clinical Social Worker 9335409671 Practice locations: Vero Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

601 21St St
Suite 300
Vero Beach, FL 32960-0860
Phone (772) 321-3239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14898FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1003932377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 CARDINAL DR STE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631931",
            "telephone_number": "772-321-3239",
            "fax_number": "800-951-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CARDINAL DR STE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631931",
            "telephone_number": "772-321-3239",
            "fax_number": "800-951-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "TRINA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.