Individual provider Active NPI

Larry Litras, LCSWR, CAC, CASAC

  • Clinical Social Worker
  • Saylorsburg, PA
National Provider Identifier
1164506820
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015858 Issued in PA
Practice address
RR 3 Box 3406
Kidspeace
Saylorsburg, PA 18353-9632
Phone
(610) 381-3400
Fax
(610) 381-2531
NPI assigned
Oct 25, 2006
Last updated
Dec 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7789 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X 6841 PA
Clinical Social Worker 1041C0700X R056430-1 NY
Clinical Social Worker 1041C0700X CW015858 PA Primary

Addresses

Primary practice location

RR 3 Box 3406
Kidspeace
Saylorsburg, PA 18353-9632

Mailing address

778 Blue Mountain LK
East Stroudsburg, PA 18301-7920
Phone (570) 972-0695

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
7789NYMDAddiction (Substance Use Disorder) Counselor
6841PAMDAddiction (Substance Use Disorder) Counselor
R056430-1NYMDClinical Social Worker
CW015858PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1164506820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 BLUE MOUNTAIN LK",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017920",
            "telephone_number": "570-972-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 3406",
            "address_2": "KIDSPEACE",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183539632",
            "telephone_number": "610-381-3400",
            "fax_number": "610-381-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITRAS",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "credential": "LCSWR, CAC, CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "7789",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "6841",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056430-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saylorsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.