Laura Kathleen Cevik, LICSW
Individual provider Active NPI Professional Counselor · Worcester, MA
NPI 1255468583 · NPPES record last updated Mar 18, 2008
Key facts
- NPI
- 1255468583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 111418 (MA)
- Practice address
- 198 Russell St
Worcester, MA 01609-2200 - Phone
- (508) 410-0164
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111418 | MA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 111418 | MA | Yes |
Addresses
Primary practice location
198 Russell St
Worcester, MA 01609-2200
Mailing address
198 Russell St
Worcester, MA 01609-2200
Phone (508) 410-0164
Other providers in Worcester, MA
- Brianna M Cerutti
- Thomas Michael Cervantes
- Natalie Elizabeth Cespedes
- Osiris Cespedes
- Victoria Cestodio
- Elliot Cha
- Leanne L Chabior
- Kelsey T. Chabot
- Matthew Stephen Chabot
- David A. Chad
All providers in Worcester, MA · Professional Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.