Organization Active NPI

Lauren Y Choi LCSW PLLC

  • Clinical Social Worker
  • San Juan, TX
National Provider Identifier
1083347264
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAUREN Y CHOI LCSW PLLC
Practice address
1002 Cooper LN
San Juan, TX 78589-5228
Phone
(909) 520-5208
NPI assigned
Jul 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Lauren ChoiNPI 1902499627
Title
LCSW
Phone
(909) 520-5208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1002 Cooper LN
San Juan, TX 78589-5228

Mailing address

1002 Cooper LN
San Juan, TX 78589-5228
Phone (909) 520-5208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220825003323 TX Part B Supplier - Clinic/Group Practice 3375927254 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1083347264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 COOPER LN",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785895228",
            "telephone_number": "909-520-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 COOPER LN",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785895228",
            "telephone_number": "909-520-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN Y CHOI LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "909-520-5208"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.