Laura Tice, LCSW R

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LAURA TICE, LCSW R

Practice address

270 River St Ste 202B
Troy, NY 12180-0806

Phone

(518) 573-8743

Fax

(518) 244-5292

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Laura Tice, LCSW RNPI 1407086234

Title

Owner

Phone

(518) 573-8743

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Lee Tice, LCSWR

  • Social Worker
  • Delmar, NY
  • NPI 1407086234
  NPD (past) Authorized official

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1306449525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 RIVER ST STE 202B",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121800806",
            "telephone_number": "518-573-8743",
            "fax_number": "518-244-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 RIVER ST STE 202B",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121800806",
            "telephone_number": "518-573-8743",
            "fax_number": "518-244-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA TICE, LCSW R",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "TICE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-573-8743",
        "authorized_official_credential": "LCSW R"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Troy",
            "affiliation": "N",
            "address_1": "270 River St Ste 202B",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121800806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victor Laregina, MD
• Melanie M Lashway
• Mitchell Lasoff, D.D.S.
• Steven Lau, D.O.
• Courtney Elisabeth Laughlin, PT, DPT
• Mary Ann Laverty, RNMSN
• Laurie Lavin
• Eleanor Marie Laviolette, LMT
• Brittany Law
• Lawrence J. Parsley, Jr.,MD, PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Troy, NY
• Providers in Troy, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.