Individual provider Active NPI

Laura G Craddock, MSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1275966707
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3101 N Green River Rd
Ste. 910
Evansville, IN 47715-1369
Phone
(812) 479-1916
Fax
(812) 479-5014
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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 Primary

Addresses

Primary practice location

3101 N Green River Rd
Ste. 910
Evansville, IN 47715-1369

Mailing address

3101 N Green River Rd
Ste. 910
Evansville, IN 47715-1369
Phone (812) 479-1916

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lauralign Counseling and Wellness, LLC Clinical Current Accepting new patients
Luzio & Associates Behavioral Services, Inc. Clinical PastSince Jun 3, 2010 Accepting new patients
Luzio & Associates Behavioral Services, Inc. Clinical Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1275966707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N GREEN RIVER RD",
            "address_2": "STE. 910",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477151369",
            "telephone_number": "812-479-1916",
            "fax_number": "812-479-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N GREEN RIVER RD",
            "address_2": "STE. 910",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477151369",
            "telephone_number": "812-479-1916",
            "fax_number": "812-479-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDOCK",
        "first_name": "LAURA",
        "middle_name": "G",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.