Active NPI
Letitia N Laurien, LCSW
- Clinical Social Worker
- Hampton, VA
National Provider Identifier
1013158963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW16560
- Practice address
- 2204 Executive Dr
Suite a
Hampton, VA 23666-6602 - Phone
- (757) 644-3989
- Fax
- (866) 813-7798
- NPI assigned
- Mar 23, 2009
- Reactivated
- Aug 4, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW16560 | FL | |
| Social Worker | 104100000X | SW16560 | FL | |
| Clinical Social Worker | 1041C0700X | 0904007077 | VA | |
| Clinical Social Worker | 1041C0700X | SW16560 | FL | Primary |
Addresses
Primary practice location
2204 Executive Dr
Suite a
Hampton, VA 23666-6602
Mailing address
1233 23Rd St
Newport News, VA 23607-4801
Phone (772) 678-1397
Other practice location 1
1233 23rd St
Newport News, VA 23607-4801
Phone (772) 678-1397
Other practice location 2
2206 Executive Dr
Suite A
Hampton, VA 23666
Phone (772) 208-8773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4945573 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmer Springs Group Home Inc | Mental Health | Current | Accepting new patients |
| Hampton Newport News Community Services Board | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Boydton, VA
- NPI 1255493805
Mental Health
-
- Community/Behavioral Health Agency
- Hampton, VA
- NPI 1659424448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1013158963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 23RD ST",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236074801",
"telephone_number": "772-678-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 EXECUTIVE DR",
"address_2": "SUITE A",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666602",
"telephone_number": "757-644-3989",
"fax_number": "866-813-7798"
}
],
"practiceLocations": [
{
"address_1": "1233 23rd St",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236074801",
"country_code": "US",
"telephone_number": "772-678-1397",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2206 Executive Dr",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "23666",
"country_code": "US",
"telephone_number": "772-208-8773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAURIEN",
"first_name": "LETITIA",
"middle_name": "N",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-23",
"last_updated": "2023-08-07",
"certification_date": "2023-08-04",
"deactivation_date": "2023-07-17",
"reactivation_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "SW16560",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "SW16560",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007077",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW16560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4945573",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.