Individual provider Active NPI

Jennifer Marie Lauler, MSW, LGSW

  • Social Worker
  • Buckhannon, WV
National Provider Identifier
1467823807
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BP00944093 Issued in WV
Practice address
29 S Kanawha St
Buckhannon, WV 26201-2625
Phone
(304) 473-0020
Fax
(304) 472-9064
NPI assigned
Oct 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BP00944093 WV Primary

Addresses

Primary practice location

29 S Kanawha St
Buckhannon, WV 26201-2625

Mailing address

26 N Kanawha St
Buckhannon, WV 26201-2767
Phone (304) 472-1500

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
BP00944093WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Cap of West Virginia Inc. CurrentSince Mar 7, 2021 Accepting new patients

Locations

29 S Kanawha St
Buckhannon, WV 26201
Phone (304) 472-1500

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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1467823807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N KANAWHA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012767",
            "telephone_number": "304-472-1500",
            "fax_number": "304-472-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S KANAWHA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012625",
            "telephone_number": "304-473-0020",
            "fax_number": "304-472-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAULER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00944093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.