Individual provider Active NPI

Lauren Cornew, PHD, LCSW

  • Clinical Social Worker
  • Ardmore, PA
National Provider Identifier
1356934376
Registry record updated Aug 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021987 Issued in PA
Practice address
209 Kent Rd
Ardmore, PA 19003-3303
Phone
(858) 692-4289
NPI assigned
Feb 19, 2021
Last updated
Aug 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2021

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 CW021987 PA Primary

Addresses

Primary practice location

209 Kent Rd
Ardmore, PA 19003-3303

Mailing address

209 Kent Rd
Ardmore, PA 19003-3303
Phone (858) 692-4289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 25, 2023 through Oct 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CW021987PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628294400000",
    "number": "1356934376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 KENT RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033303",
            "telephone_number": "858-692-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 KENT RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033303",
            "telephone_number": "858-692-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEW",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

Verify at the official NPI Registry.