Individual provider Active NPI

Laurie W. Vanloon, LICSW

  • Clinical Social Worker
  • Framingham, MA
National Provider Identifier
1396865457
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1022281 Issued in MA
Practice address
5 Edgell Rd
Suite 27
Framingham, MA 01701-4874
Phone
(508) 370-9056
Fax
(978) 369-8528
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1022281 MA Primary

Addresses

Primary practice location

5 Edgell Rd
Suite 27
Framingham, MA 01701-4874

Mailing address

73 Lang St
Concord, MA 01742-1703
Phone (978) 369-8528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1022281MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396865457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 LANG ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017421703",
            "telephone_number": "978-369-8528",
            "fax_number": "978-369-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EDGELL RD",
            "address_2": "SUITE 27",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014874",
            "telephone_number": "508-370-9056",
            "fax_number": "978-369-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLOON",
        "first_name": "LAURIE",
        "middle_name": "W.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1022281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.