Individual provider Active NPI

Laurel Stephens, LCSW

  • Social Worker
  • Amherst, NY
National Provider Identifier
1033625140
Registry record updated Jan 25, 2021
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Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
083978 Issued in NY
Practice address
575 Alberta Dr Ste 2
Amherst, NY 14226-1139
Phone
(716) 832-0720
Fax
(716) 832-5867
NPI assigned
Dec 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 083978 NY Primary

Addresses

Primary practice location

575 Alberta Dr Ste 2
Amherst, NY 14226-1139

Mailing address

167 Snug Haven CT
Tonawanda, NY 14150-8561
Phone (716) 308-6679

Other names 1

  • Laurel Lester Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1033625140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 SNUG HAVEN CT",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508561",
            "telephone_number": "716-308-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ALBERTA DR STE 2",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261139",
            "telephone_number": "716-832-0720",
            "fax_number": "716-832-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "LAUREL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "083978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREL",
            "last_name": "LESTER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.