Individual provider Active NPI

Laura Stradling

  • Clinical Social Worker
  • Bastrop, TX
National Provider Identifier
1386532810
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32545 Issued in TX
Practice address
167 Smith Rd
Bastrop, TX 78602-5801
Phone
(512) 799-8698
NPI assigned
Jun 24, 2025
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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 32545 TX Primary

Addresses

Primary practice location

167 Smith Rd
Bastrop, TX 78602-5801

Mailing address

167 Smith Rd
Bastrop, TX 78602-5801
Phone (512) 799-8698

Other names 1

  • Laura Ketchersid Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250806003166 TX Practitioner - Clinical Social Worker 2365950631 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32545TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Mental Health PLLC CurrentSince Jul 23, 2025 Accepting new patients

Locations

1604 Industry Dr
Ste 108C
Bastrop, TX 78602
Phone (737) 251-5707

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, 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": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1386532810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 SMITH RD",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025801",
            "telephone_number": "512-799-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 SMITH RD",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025801",
            "telephone_number": "512-799-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADLING",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "32545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KETCHERSID",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.