Active NPI
Lauren Dentler, LCSW
- Clinical Social Worker
- Lakeland, FL
National Provider Identifier
1477905917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW13218
- Practice address
- 4175 Mayfair Way
Lakeland, FL 33812-0824 - Phone
- (863) 899-9149
- NPI assigned
- Jul 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW13218 | FL | |
| Clinical Social Worker | 1041C0700X | SW13218 | FL | Primary |
Addresses
Primary practice location
4175 Mayfair Way
Lakeland, FL 33812-0824
Mailing address
4175 Mayfair Way
Lakeland, FL 33812-0824
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 |
|---|---|---|---|
| SW13218 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1477905917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 MAYFAIR WAY",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338120824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 MAYFAIR WAY",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338120824",
"telephone_number": "863-899-9149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENTLER",
"first_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-08",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "SW13218",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
- Dental Associates of Florida (Lakeland) PLLC
- Dental Associates of Florida (S. Lakeland) PLLC
- Dental Associates of Winter Haven
- Dental Implant Specialists of Florida, PA
- Dentists of Lakeland, PA
- Allison G Denton
- Tony Lawson Denton, H.A.S.
- Cynthia Deokarran, PHARMD
- Mariah Korinna Depass, RMHCI
- Jennifer Depew, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.