Individual provider Active NPI

Lauren Jean Agrella-Sevilla, M.ED

  • Clinical Social Worker
  • Brevard, NC
National Provider Identifier
1205535564
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
106 Lakeview Ave
Brevard, NC 28712-4346
Phone
(828) 551-6641
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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 Primary

Addresses

Primary practice location

106 Lakeview Ave
Brevard, NC 28712-4346

Mailing address

106 Lakeview Ave
Brevard, NC 28712-4346
Phone (828) 551-6641

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
Credentials
Master of Education

Interoperability endpoints

  • Direct secure messaging: laurenagrella-sevilla@highlandmedical.medentdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1205535564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LAKEVIEW AVE",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124346",
            "telephone_number": "828-551-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LAKEVIEW AVE",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124346",
            "telephone_number": "828-551-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRELLA-SEVILLA",
        "first_name": "LAUREN",
        "middle_name": "JEAN",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.