Individual provider Active NPI

Angelique Lauren, LICSW

  • Clinical Social Worker
  • Turners Falls, MA
National Provider Identifier
1265569776
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111347 Issued in MA
Practice address
338 Montague City Rd
Turners Falls, MA 01376-1830
Phone
(413) 772-3748
Fax
(413) 774-3072
NPI assigned
Feb 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 111347 MA Primary

Addresses

Primary practice location

338 Montague City Rd
Turners Falls, MA 01376-1830

Mailing address

338 Montague City Rd
Turners Falls, MA 01376-1830
Phone (413) 772-3748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050823000829 MA Practitioner - Clinical Social Worker 9436180007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

370 N King St
Northampton, MA 01060-1121
Phone (413) 387-0075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111347MAMDClinical Social Worker

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265569776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 MONTAGUE CITY RD",
            "city": "TURNERS FALLS",
            "state": "MA",
            "postal_code": "013761830",
            "telephone_number": "413-772-3748",
            "fax_number": "413-774-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 MONTAGUE CITY RD",
            "city": "TURNERS FALLS",
            "state": "MA",
            "postal_code": "013761830",
            "telephone_number": "413-772-3748",
            "fax_number": "413-774-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUREN",
        "first_name": "ANGELIQUE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turners Falls, MA

Sources for this page

Verify at the official NPI Registry.