Individual provider Active NPI

Lawrence Pincus, ED.S., L.C.S.W.

  • Clinical Social Worker
  • Valparaiso, IN
National Provider Identifier
1225000300
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34002419A Issued in IN
Practice address
2102 Evans Ave
Valparaiso, IN 46383-4095
Phone
(219) 462-4770
Fax
(219) 464-8156
NPI assigned
Feb 3, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34002419A IN Primary
Marriage & Family Therapist 106H00000X 35000684A IN

Addresses

Primary practice location

2102 Evans Ave
Valparaiso, IN 46383-4095

Mailing address

2102 Evans Ave
Valparaiso, IN 46383-4095
Phone (219) 462-4770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041103000106 IN Practitioner - Clinical Social Worker 4486616208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lpa CoGroup PAC ID 7911286695, 4 clinicians

Practice addresses (Care Compare)

2005 Valparaiso St
Suite 209
Valparaiso, IN 46383-3331
Phone (219) 252-5464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35000684AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychology Center, P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225000300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 EVANS AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834095",
            "telephone_number": "219-462-4770",
            "fax_number": "219-464-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 EVANS AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834095",
            "telephone_number": "219-462-4770",
            "fax_number": "219-464-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCUS",
        "first_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "ED.S., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002419A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000684A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.