Active NPI
Laura Otton
- Clinical Social Worker
- Center Moriches, NY
National Provider Identifier
1255746285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081156
- Practice address
- 220 Main St
Center Moriches, NY 11934-3516 - Phone
- (631) 874-2700
- NPI assigned
- Jun 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 081156 | NY | Primary |
Addresses
Primary practice location
220 Main St
Center Moriches, NY 11934-3516
Mailing address
220 Main St
Center Moriches, NY 11934-3516
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403913600000",
"number": "1255746285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 MAIN ST",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119343516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 MAIN ST",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119343516",
"telephone_number": "631-874-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTON",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-28",
"last_updated": "2014-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Center Moriches, NY
- Yvonne Clark O'Brien, RPH
- Rosemary Theresa O'Day, LPN
- Maura B O'Leary, CCC-SLP, TSHH
- Oasis Rehabilitation and Nursing LLC
- Stefanie Ortiz
- Out East Therapy of New York for OT, PT, SLP, RN and Psychology Servic
- Out East Therapy of New York for OT, PT, SLP, RN and Psychology Servic
- Mark Pandolfi, LMSW
- Cynthia Lyn Pantol, MASTERS
- Kerry Christine Paras, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.