Jennifer Lauth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11940 Issued in FL

Practice address

1680 SW Bayshore Blvd
Suite 231
Port Saint Lucie, FL 34984-3500

Phone

(772) 361-1416

NPI assigned

Apr 28, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1407201338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 SW BAYSHORE BLVD",
            "address_2": "SUITE 231",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349843500",
            "telephone_number": "772-361-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SW BAYSHORE BLVD",
            "address_2": "SUITE 231",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349843500",
            "telephone_number": "772-361-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTH",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joel Laurenceau
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• Deena R Lavado
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• Lawnwood Medical Center Inc
• Rolande Antoine Lazarre
• Adria Maria Lazo Vazquez, RBT

• Clinical Social Worker in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.