Individual provider Active NPI

Laure Ann Rohrs Gargano, LCSW CAC CCDP MAC

  • Social Worker
  • Lewisburg, PA
National Provider Identifier
1255516381
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
115 Farley Cir Ste 303
Lewisburg, PA 17837-9252
Phone
(570) 490-3028
Fax
(800) 856-8690
NPI assigned
Jan 8, 2008
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2889 PA
Mental Health Counselor 101YM0800X 6314 PA
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X CW015693 PA
Social Worker 104100000X Primary

Addresses

Primary practice location

115 Farley Cir Ste 303
Lewisburg, PA 17837-9252

Mailing address

1012 McRae LN
Lewisburg, PA 17837-6624
Phone (570) 490-3028

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
I20200820000052 PA Practitioner - Clinical Social Worker 7315363413 Reassigns benefits to 1 organization
Practice locations: Lewisburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

115 Farley Cir
Suite 109
Lewisburg, PA 17837-9252
Phone (570) 490-3028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2889PAMDAddiction (Substance Use Disorder) Counselor
6314PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laure R Gargano LLC Addiction (Substance Use Disorder) CurrentSince Dec 1, 2024 Accepting new patients

Locations

11 Reitz Blvd
Ste 202
Lewisburg, PA 17837
Phone (570) 490-3028

115 Farley Cir
Ste 303
Lewisburg, PA 17837
Phone (570) 490-3028

Organizations & group practices 1

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": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1255516381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 MCRAE LN",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376624",
            "telephone_number": "570-490-3028",
            "fax_number": "888-322-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FARLEY CIR STE 303",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379252",
            "telephone_number": "570-490-3028",
            "fax_number": "800-856-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHRS GARGANO",
        "first_name": "LAURE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW CAC CCDP MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "2889",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "6314",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015693",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.