Individual provider Active NPI

Laura L McMurry, MSW, LCSW

  • Clinical Social Worker
  • Columbia, MO
National Provider Identifier
1053629394
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006247 Issued in MO
Practice address
1900 N Providence Rd Ste 305
Columbia, MO 65202-3710
Phone
(573) 447-8388
Fax
(573) 447-7433
NPI assigned
Sep 21, 2010
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006247 MO Primary

Addresses

Primary practice location

1900 N Providence Rd Ste 305
Columbia, MO 65202-3710

Mailing address

PO Box 7479
Columbia, MO 65205-7479
Phone (573) 447-8388

Other identifiers 1

IdentifierTypeStateIssuer
1053629394MedicaidMO

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

State licenses

LicenseStateTypeSpecialty
006247MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Balance & Dizziness Center LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1053629394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7479",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652057479",
            "telephone_number": "573-447-8388",
            "fax_number": "573-447-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N PROVIDENCE RD STE 305",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023710",
            "telephone_number": "573-447-8388",
            "fax_number": "573-447-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURRY",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "006247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053629394",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

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