Individual provider Active NPI

Lauren Beth Axelrod, LICSW

  • Clinical Social Worker
  • South Burlington, VT
National Provider Identifier
1386810778
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0000809 Issued in VT
Practice address
56 W Twin Oaks Ter
South Burlington, VT 05403-7106
Phone
(802) 651-9880
NPI assigned
May 5, 2008
Last updated
May 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2008

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 089-0000809 VT Primary

Addresses

Primary practice location

56 W Twin Oaks Ter
South Burlington, VT 05403-7106

Mailing address

56 W Twin Oaks Ter
South Burlington, VT 05403-7106
Phone (802) 651-9880

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
I20090225000007 VT Practitioner - Clinical Social Worker 1557426806 Reassigns benefits to 2 organizations
Practice locations: Jericho, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Tulane University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deer Oaks Mental Health Associates PCGroup PAC ID 2264337013, 55 clinicians

Practice addresses (Care Compare)

43 Starr Farm Rd
Burlington, VT 05408-1321
Phone (802) 863-6384

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
80.99
Improvement activities
40
Cost
72.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089-0000809VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Mental Health Associates PC CurrentSince Mar 15, 2016 Accepting new patients
Synergy Counseling Group, LLC Past Accepting new patients

Locations

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

43 Starr Farm Rd
Burlington, VT 05408
Phone (646) 303-7650

49 Cedar Hill Dr
Windsor, VT 05089
Phone (802) 674-6609

Organizations & group practices 3

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": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1386810778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W TWIN OAKS TER",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037106",
            "telephone_number": "802-651-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W TWIN OAKS TER",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037106",
            "telephone_number": "802-651-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELROD",
        "first_name": "LAUREN",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0000809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.