Lauren Dickey Faisant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008039 Issued in VA

Practice address

1657 Merrimac TRL
Williamsburg, VA 23185-5624

Phone

(757) 220-3200

NPI assigned

Sep 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lauren Macbride Dickey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2b8c86f5-c497-45b0-94ed-0102e20d1c70/

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.

• Colonial Behavioral Health

  • Health Maintenance Organization
  • Williamsburg, VA
  • NPI 1841556776
  NPD (past)

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1033367602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 MERRIMAC TRL",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855624",
            "telephone_number": "757-220-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 MERRIMAC TRL",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855624",
            "telephone_number": "757-220-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAISANT",
        "first_name": "LAUREN",
        "middle_name": "DICKEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540505927",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "DICKEY",
            "middle_name": "MACBRIDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evolution Counseling Services, LLC
• Evolution Recovery Services LLC
• Cleve Winfield Ewell III, M.D.
• Eye 2 Eye Vision Center PC
• Traci J Fairheart, DPT
• Faith Hope Care Provider
• Barbara Fallon, N.P.
• Family Care of Williamsburg
• Family Care Pharmacy Inc
• Family Eye Care - Dr. David Barley & Associates, Optometrists, PC

• Clinical Social Worker in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.