Individual provider Active NPI

Laurie Ellen Risher, LCSW

  • Social Worker
  • Hattiesburg, MS
National Provider Identifier
1306202452
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C1874 Issued in MS
Practice address
208 Alcorn Ave
Hattiesburg, MS 39401-2756
Phone
(601) 582-3541
Fax
(501) 582-3525
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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 C1874 MS Primary

Addresses

Primary practice location

208 Alcorn Ave
Hattiesburg, MS 39401-2756

Mailing address

2322 Old Highway 24
Hattiesburg, MS 39402-9782
Phone (601) 582-3541

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

State licenses

LicenseStateTypeSpecialty
C1874MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Southern Mississippi Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1306202452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 OLD HIGHWAY 24",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394029782",
            "telephone_number": "601-582-3541",
            "fax_number": "601-582-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ALCORN AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394012756",
            "telephone_number": "601-582-3541",
            "fax_number": "501-582-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISHER",
        "first_name": "LAURIE",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "C1874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.