Individual provider Active NPI

Marie N Laurent

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1417281007
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007070 Issued in NC
Practice address
5709 Enoree LN
Raleigh, NC 27616-5773
Phone
(954) 410-5184
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C007070 NC Primary
Clinical Social Worker 1041C0700X SW10022 FL

Addresses

Primary practice location

5709 Enoree LN
Raleigh, NC 27616-5773

Mailing address

5709 Enoree LN
Raleigh, NC 27616-5773
Phone (954) 410-5184

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

LicenseStateTypeSpecialty
62113TXMDPsychoanalyst
SW10022FLMDClinical Social Worker
C007070NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Health Services CurrentSince Jan 12, 2020 Accepting new patients
Alternative Enrichment Center Clinical Past Accepting new patients

Locations

8201 Kelwood Ave
Baton Rouge, LA 70806
Phone (225) 272-5894

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1417281007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 ENOREE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165773",
            "telephone_number": "954-410-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 ENOREE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165773",
            "telephone_number": "954-410-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENT",
        "first_name": "MARIE",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007070",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.