Organization Active NPI

John Lauritzen MSW Licsw

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
National Provider Identifier
1124574983
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JOHN LAURITZEN MSW LICSW
Practice address
17 State St
Suite 4000
New York, NY 10004-1502
Phone
(917) 880-5894
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
John F Lauritzen, MSW LICSW
Title
Social Worker
Phone
(917) 880-5894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

17 State St
Suite 4000
New York, NY 10004-1502

Mailing address

17 State Street
Suite 4000
New York, NY 10004-1502
Phone (917) 880-5894

Other names 1

  • John Lauritzen HIV Case Management Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1124574983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 STATE STREET",
            "address_2": "SUITE 4000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041502",
            "telephone_number": "917-880-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 STATE ST",
            "address_2": "SUITE 4000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041502",
            "telephone_number": "917-880-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LAURITZEN MSW LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "LAURITZEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "917-880-5894",
        "authorized_official_credential": "MSW LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Lauritzen HIV Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.