Laurie E Herzog PHD PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1015410 Issued in MA

Legal business name

LAURIE E HERZOG PHD PC

Practice address

155 Main St
Northampton, MA 01060-3259

Phone

(413) 586-7774

NPI assigned

Dec 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Laurie E. Herzog, PH.D.NPI 1548317274

Title

President

Phone

(413) 586-7774

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurie Elizabeth Herzog, LICSW, PHD

  • Mental Health Counselor
  • Northampton, MA
  • NPI 1548317274
  Medicare reassignment NPD Authorized official
• Jennifer Bryan, PH.D.

  • Psychologist
  • Northampton, MA
  • NPI 1730239401
  NPD (past)
• Adele Marcus, LICSW, LCSW

  • Clinical Social Worker
  • Florence, MA
  • NPI 1891842183
  NPD (past)

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1407277007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAIN ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603259",
            "telephone_number": "413-586-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAIN ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603259",
            "telephone_number": "413-586-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE E HERZOG PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-586-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1015410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P04562",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1548317274",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Jane Laquer, PH.D. C.C.E.
• Antonio Laracuente, MD
• Elizabeth Mackie Larkin
• Lathrop Home
• Raeph Laughingwell, MD
• Jean-Marie Laurin
• Shauna Laurin
• Jared Charles Lauziere, DPT
• Richard P. Lawlor, MD
• Ashaunti Lawrence

• Clinical Social Worker in Northampton, MA
• Providers in Northampton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.