Individual provider Active NPI

Lauren Givan, LISW

  • Clinical Social Worker
  • Brookpark, OH
National Provider Identifier
1073709234
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1501255 Issued in OH
Practice address
16101 Snow Rd
Brookpark, OH 44142-2817
Phone
(440) 260-8327
Fax
(440) 260-8305
NPI assigned
Sep 21, 2007
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801093886 MI
Clinical Social Worker 1041C0700X I.1501255 OH Primary

Addresses

Primary practice location

16101 Snow Rd
Brookpark, OH 44142-2817

Mailing address

5515 Robert CT
North Ridgeville, OH 44039-1777
Phone (440) 508-6105

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
6801093886MIMDSocial Worker
I.1501255OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1073709234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 ROBERT CT",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391777",
            "telephone_number": "440-508-6105",
            "fax_number": "440-260-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 SNOW RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422817",
            "telephone_number": "440-260-8327",
            "fax_number": "440-260-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVAN",
        "first_name": "LAUREN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093886",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1501255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookpark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.