Active NPI
John Lauritzen MSW Licsw
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
National Provider Identifier
1124574983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.