Laurie E Etzrodt, MSS,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW014488 Issued in PA

Practice address

301 Oxford Valley Rd Ste 304a
Yardley, PA 19067-7709

Phone

(215) 493-8896

Fax

(215) 340-1867

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Laurie E Etzrodt

  • Clinical Social Worker
  • Yardley, PA
  • NPI 1740669019
  Medicare reassignment NPD Authorized official
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093868408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD STE 304A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677709",
            "telephone_number": "215-493-8896",
            "fax_number": "215-340-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD STE 304A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677709",
            "telephone_number": "215-493-8896",
            "fax_number": "215-340-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETZRODT",
        "first_name": "LAURIE",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "MSS,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Robert Eppel, OTR/L
• Levent Erdogan
• Eric J Lepine DMD PC
• Ghasem Eshaghi, M.D.
• Mariza Esperanza, BS
• Cleofe P Evangelista, M.D.
• Evon Chiropractic, PC
• Michael Thomas Evon, DC
• Fairless Hills Health Center
• Family Guidance Associates, Inc.

• Clinical Social Worker in Yardley, PA
• Providers in Yardley, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.