Lawrence a. Ellsworth, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001070 Issued in NC

Legal business name

LAWRENCE A. ELLSWORTH, LCSW, PLLC

Practice address

8520 Six Forks Rd Ste 104
Raleigh, NC 27615-3096

Phone

(919) 815-4984

NPI assigned

Jun 28, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence A. Ellsworth, LCSWNPI 1194839308

Title

Licensed Clinical Social Worker

Phone

(919) 815-4984

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence A. Ellsworth, MSSW, LCSW

  • Social Worker
  • Raleigh, NC
  • NPI 1194839308
  NPD (past) Authorized official

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1023539285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 BRIDGET DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276039332",
            "telephone_number": "919-815-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 SIX FORKS RD STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153096",
            "telephone_number": "919-815-4984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 Shipwash Dr",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275296860",
            "country_code": "US",
            "telephone_number": "919-815-4984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAWRENCE A. ELLSWORTH, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "919-815-4984",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Rose Lawler, CCC-SLP
• Lauren S Lawler, PHARMD, RPH
• John Hart Lawless III, LCMHCA
• Pamela J Lawlor, NP
• Anne Titilope Lawoyin, FNP-BC
• Alyson Suzanne Lawrence, MSW, LCSWA
• Amy Phillips Lawrence, COTA/L
• Anna Lawrence
• Danielle N. Lawrence, NP
• Dimica Lawrence, LCSWA

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.