Clarissa Laughlin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

97961 Issued in CA

Practice address

2131 S Bonito Way
Meridian, ID 83642-1659

Phone

(208) 202-4730

NPI assigned

Mar 9, 2018

Last updated

May 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Clarissa Laughlin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• The Therapist Edge PLLC

  • Clinical Social Worker
  • Caldwell, ID
  • NPI 1568318558
  NPD Authorized official

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1427551076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19743 SUSQUEHANNA WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836058051",
            "telephone_number": "760-705-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 S BONITO WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421659",
            "telephone_number": "208-202-4730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Main St",
            "address_purpose": "LOCATION",
            "city": "Ramona",
            "state": "CA",
            "postal_code": "920652170",
            "country_code": "US",
            "telephone_number": "760-788-9724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24275 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "92562",
            "country_code": "US",
            "telephone_number": "951-677-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "CLARISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "97961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARISSA",
            "last_name": "LAUGHLIN",
            "credential": "CZUPRYNSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter Larson, NP-C
• Kristin Larsson
• Yustina Nader Lassen, PA-C
• Winona Fay Latta, RN,BSN
• Brittany Laub
• Mike C. Laur, DPM
• Laura a Cromwell, LLC
• Anna Marie Laurance
• Sari Bianca Lavarias, PA-C
• Melissa Lavis, RN

• Clinical Social Worker in Meridian, ID
• Providers in Meridian, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.