Active NPI
Wayne Lavengood
- Clinical Social Worker
- Monterey, CA
National Provider Identifier
1457453763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS3374
- Practice address
- 23625 WR Holman Highway
Monterey, CA 93940 - Phone
- (831) 624-5311
- Fax
- (831) 625-4948
- NPI assigned
- Sep 5, 2006
- Last updated
- Jul 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS3374 | CA | Primary |
Addresses
Primary practice location
23625 WR Holman Highway
Monterey, CA 93940
Mailing address
P O Box HH
Business Development & Contracting
Monterey, CA 93942
Phone (831) 622-2716
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS3374 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1457453763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX HH",
"address_2": "BUSINESS DEVELOPMENT & CONTRACTING",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93942",
"telephone_number": "831-622-2716",
"fax_number": "831-625-4764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23625 WR HOLMAN HIGHWAY",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "831-624-5311",
"fax_number": "831-625-4948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVENGOOD",
"first_name": "WAYNE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS3374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.