Individual provider Active NPI

Laurel L King, LCSW-R

  • Clinical Social Worker
  • New Hartford, NY
National Provider Identifier
1356411128
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R052708 Issued in NY
Practice address
3 Ellinwood Court
Alan P Smith LCSW, PLLC
New Hartford, NY 13413
Phone
(315) 724-3262
Fax
(315) 724-3262
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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 R052708 NY Primary

Addresses

Primary practice location

3 Ellinwood Court
Alan P Smith LCSW, PLLC
New Hartford, NY 13413

Mailing address

3 Ellinwood CT
Alan P Smith LCSW, PLLC
New Hartford, NY 13413-1115
Phone (315) 724-3262

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
R052708NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
J Michel Associate Clinical 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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1356411128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ELLINWOOD CT",
            "address_2": "ALAN P SMITH LCSW, PLLC",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131115",
            "telephone_number": "315-724-3262",
            "fax_number": "315-724-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ELLINWOOD COURT",
            "address_2": "ALAN P SMITH LCSW, PLLC",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "13413",
            "telephone_number": "315-724-3262",
            "fax_number": "315-724-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LAUREL",
        "middle_name": "L",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R052708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.