Active NPI
Laura Marie Buck, LCSW
- Clinical Social Worker
- Warren, OH
National Provider Identifier
1417016239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015057
- Practice address
- Louis Stokes Cleveland Medical Center
1406 Tod Ave NW Warren VA Cboc
Warren, OH 44485 - Phone
- (330) 392-0311
- Fax
- (216) 229-2897
- NPI assigned
- Dec 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6629 | PA | |
| Clinical Social Worker | 1041C0700X | CW015057 | PA | Primary |
Addresses
Primary practice location
Louis Stokes Cleveland Medical Center
1406 Tod Ave NW Warren VA Cboc
Warren, OH 44485
Mailing address
Louis Stokes Cleveland Medical Center
1406 Tod Ave NW Warren VA Cboc
Warren, OH 44485
Phone (330) 392-0311
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6629 | PA | MD | Addiction (Substance Use Disorder) Counselor |
| CW015057 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paoletta Counseling Services, Inc | Clinical | Past | Accepting new patients |
| Paoletta Counseling Services, Inc | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1417016239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LOUIS STOKES CLEVELAND MEDICAL CENTER",
"address_2": "1406 TOD AVE NW WARREN VA CBOC",
"city": "WARREN",
"state": "OH",
"postal_code": "44485",
"telephone_number": "330-392-0311",
"fax_number": "216-229-2897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LOUIS STOKES CLEVELAND MEDICAL CENTER",
"address_2": "1406 TOD AVE NW WARREN VA CBOC",
"city": "WARREN",
"state": "OH",
"postal_code": "44485",
"telephone_number": "330-392-0311",
"fax_number": "216-229-2897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "LAURA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "6629",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW015057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.