Individual provider Active NPI

Laurie A Coombs, MSW, LCSW

  • Clinical Social Worker
  • Rutland, VT
National Provider Identifier
1316059579
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0048415 Issued in VT
Practice address
120 Merchants Row
Rutland, VT 05701-5911
Phone
(802) 282-1786
NPI assigned
Aug 31, 2006
Last updated
Jul 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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 089.0048415 VT Primary

Addresses

Primary practice location

120 Merchants Row
Rutland, VT 05701-5911

Mailing address

46 Vernon St
Rutland, VT 05701-2327
Phone (802) 282-1786

Other names 1

  • Laurie A Coombs Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20121108000578 VT Practitioner - Clinical Social Worker 9335390897 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of the Rutland Region IncGroup PAC ID 2961467386, shared by 9 NPIs, 103 clinicians

Practice addresses (Care Compare)

231 N Main St
Rutland, VT 05701-2412
Phone (800) 468-9118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0048415VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Aug 23, 2021 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Aug 23, 2021 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Aug 23, 2021 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Aug 23, 2021 Accepting new patients
Community Health Centers of the Rutland Region Inc Current Accepting new patients
Community Health Centers of the Rutland Region Inc CurrentSince Aug 23, 2021 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Aug 23, 2021 Accepting new patients
Community Health Centers of the Rutland Region, Inc Past Accepting new patients

Locations

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

420 Grove St
Brandon, VT 05733
Phone (802) 247-6305

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

215 Stratton Rd
#1
Rutland, VT 05701

231 N Main St
Rutland, VT 05701
Phone (800) 468-9118

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

71 Allen St
Ste 403
Rutland, VT 05701
Phone (802) 772-4414

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Organizations & group practices 9

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1316059579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 VERNON ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012327",
            "telephone_number": "802-282-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MERCHANTS ROW",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057015911",
            "telephone_number": "802-282-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "LAURIE",
        "middle_name": "A",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0048415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "COOMBS",
            "middle_name": "A",
            "credential": "MSW LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.