Individual provider Active NPI

Lauren J Cull-Norford, LICSW

  • Clinical Social Worker
  • Rutland, VT
National Provider Identifier
1114007416
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0890000603 Issued in VT
Practice address
7 Court SQ
Rutland, VT 05701-4030
Phone
(802) 775-4388
Fax
(802) 775-3307
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0890000603 VT Primary

Addresses

Primary practice location

7 Court SQ
Rutland, VT 05701-4030

Mailing address

214 Sugar Hollow Rd
Pittsford, VT 05763-9883
Phone (802) 483-6645

Other identifiers 2

IdentifierTypeStateIssuer
1007273MedicaidVT
00038943OtherVTBCBS

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0890000603VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rutland Mental Health Services, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114007416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SUGAR HOLLOW RD",
            "city": "PITTSFORD",
            "state": "VT",
            "postal_code": "057639883",
            "telephone_number": "802-483-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COURT SQ",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014030",
            "telephone_number": "802-775-4388",
            "fax_number": "802-775-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULL-NORFORD",
        "first_name": "LAUREN",
        "middle_name": "J",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890000603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007273",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00038943",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.