Individual provider Active NPI

Laura A Cornelsen, LCSW

  • Clinical Social Worker
  • Yardley, PA
National Provider Identifier
1184646150
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013759 Issued in PA
Practice address
301 Oxford Valley Rd
Suite 402B
Yardley, PA 19067-7710
Phone
(215) 720-6277
NPI assigned
Jul 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 CW013759 PA Primary

Addresses

Primary practice location

301 Oxford Valley Rd
Suite 402B
Yardley, PA 19067-7710

Mailing address

561 River Rd
Yardley, PA 19067-1905
Phone (215) 720-6277

Other names 1

  • Laura Herrmann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151016000923 PA Practitioner - Clinical Social Worker 8224347182 Practice locations: Yardley, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

301 Oxford Valley Rd
402B
Yardley, PA 19067-7710
Phone (215) 720-6277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184646150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 RIVER RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190671905",
            "telephone_number": "215-720-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "SUITE 402B",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677710",
            "telephone_number": "215-720-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELSEN",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HERRMANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.