Lauralee Selvina Fuhrmann

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112420 Issued in CA

Practice address

500 Holly Grove Dr
Winterville, NC 28590-3203

Phone

(252) 422-7444

NPI assigned

Aug 7, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1043735459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S DE LACEY AVE STE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052074",
            "telephone_number": "626-395-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOLLY GROVE DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285903203",
            "telephone_number": "252-422-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRMANN",
        "first_name": "LAURALEE",
        "middle_name": "SELVINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "112420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "112420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Nicole Fly, LCSW
• Angela Tova Fornville, M.S., CCC-SLP
• Gina Franklin, MSW,LCAS
• Freedom Focus and Wellness Counseling and Consultation PLLC
• Freedom Home Health Care
• Michael Emad Gadelkarim, PHARMD
• Yogesh Gandhi, RPH
• Jennifer Delphene George
• Brian Gonzalez-Burke, LPC, LCAS, CRC, MTBC
• Lindsay Warren Grant

• Clinical Social Worker in Winterville, NC
• Providers in Winterville, 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 Feb 16, 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.

Verify at the official NPI Registry.