Laura Coulthard
Individual provider Active NPI Clinical Social Worker · Darlington, WI
NPI 1124344155 · NPPES record last updated Apr 15, 2010
Key facts
- NPI
- 1124344155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 627 Main St
Darlington, WI 53530-1395 - Phone
- (608) 776-4800
- Fax
- (608) 776-4914
- NPI assigned
- Apr 15, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
627 Main St
Darlington, WI 53530-1395
Mailing address
627 Main St
Darlington, WI 53530-1395
Phone (608) 776-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42139000 | Medicaid | WI |
Other providers in Darlington, WI
- McKenzie Burkholder
- Heidi A Byrnes
- Martin Cleary
- Community Health Systems, Inc.
- Tara Cook
- Darlington Community School District
- Davis Bus Lines
- Lacy Lynn De la O
- Dixie Rae Dempsey
- Kari M Depauw
All providers in Darlington, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.