Individual provider Active NPI

Lauren Gingrich, LSW

  • Social Worker
  • Clermont, FL
National Provider Identifier
1275247595
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW134009 Issued in PA
Practice address
3024 Samosa Hill Cir
Clermont, FL 34714-4935
Phone
(937) 408-6090
NPI assigned
Jan 11, 2023
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW134009 PA Primary

Addresses

Primary practice location

3024 Samosa Hill Cir
Clermont, FL 34714-4935

Mailing address

3024 Samosa Hill Cir
Clermont, FL 34714-4935
Phone (937) 408-6090

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL gingrl44@gmail.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW134009PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1275247595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 SAMOSA HILL CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347144935",
            "telephone_number": "937-408-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 SAMOSA HILL CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347144935",
            "telephone_number": "937-408-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGRICH",
        "first_name": "LAUREN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW134009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gingrl44@gmail.com",
            "affiliation": "N",
            "address_1": "3024 Samosa Hill Cir",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347144935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.