Laura Dreuth

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014398 Issued in IL

Practice address

105 N Tower Rd
Carbondale, IL 62901-1930

Phone

(618) 924-7476

NPI assigned

Dec 19, 2013

Last updated

Dec 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1487075354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N TOWER RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011930",
            "telephone_number": "618-924-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N TOWER RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011930",
            "telephone_number": "618-924-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREUTH",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014398",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "1114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Doughty
• Tequita Douglas, BS
• Olivia Douthitt, PA
• Amber Lynn Doyle, D.O.
• Chad Drake
• Stacey Droll, BAS, CD (DONA)
• Christopher Abbott Dueker, LCPC
• Nina Rose Dunavan, CPM
• Otis James Duncan, MA
• Kristen Dunlap-Berg, LSW

• Clinical Social Worker in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.