Individual provider Active NPI

Lauren A Dunlap, LCSW

  • Clinical Social Worker
  • Murray, KY
National Provider Identifier
1417010679
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3606 Issued in KY
Practice address
1712 State Route 121 Byp N
Suite D
Murray, KY 42071-8864
Phone
(270) 761-5804
Fax
(270) 761-5807
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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 3606 KY Primary

Addresses

Primary practice location

1712 State Route 121 Byp N
Suite D
Murray, KY 42071-8864

Mailing address

1712 State Route 121 Byp N
Suite D
Murray, KY 42071-8864
Phone (270) 761-5804

Other identifiers 1

IdentifierTypeStateIssuer
3606OtherKYLCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3606KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Family Center, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1417010679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 STATE ROUTE 121 BYP N",
            "address_2": "SUITE D",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420718864",
            "telephone_number": "270-761-5804",
            "fax_number": "270-761-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 STATE ROUTE 121 BYP N",
            "address_2": "SUITE D",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420718864",
            "telephone_number": "270-761-5804",
            "fax_number": "270-761-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "LAUREN",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "3606",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.