Active NPI
Laura Lee Tice, LCSWR
- Social Worker
- Delmar, NY
National Provider Identifier
1407086234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R0544411
- Practice address
- 107 Adams PL
Delmar, NY 12054-3023 - Phone
- (518) 573-8743
- Fax
- (518) 514-1299
- NPI assigned
- Jul 14, 2009
- Last updated
- Nov 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R0544411 | NY | Primary |
Addresses
Primary practice location
107 Adams PL
Delmar, NY 12054-3023
Mailing address
107 Adams PL
Delmar, NY 12054-3023
Phone (518) 573-8743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091008000394 | NY | Practitioner - Clinical Social Worker | 0244376044 | Practice locations: Troy, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
270 River St
Suite 202B
Troy, NY 12180-0806
Phone (518) 573-8743
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0544411 | NY | MD | Social Worker |
| 054441 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow Access Initiative Incorporated | Current | Accepting new patients | |
| Laura Tice, LCSW R | Past | Accepting new patients |
Locations
10 Colvin Ave
Ste 102
Albany, NY 12206
Phone (518) 438-2222
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Troy, NY
- NPI 1306449525
-
- Clinical Social Worker
- Albany, NY
- NPI 1023663382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1407086234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 ADAMS PL",
"city": "DELMAR",
"state": "NY",
"postal_code": "120543023",
"telephone_number": "518-573-8743",
"fax_number": "518-514-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 ADAMS PL",
"city": "DELMAR",
"state": "NY",
"postal_code": "120543023",
"telephone_number": "518-573-8743",
"fax_number": "518-514-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICE",
"first_name": "LAURA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LCSWR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R0544411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delmar, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.