Active NPI
Debra D Laclair, LCSW
- Clinical Social Worker
- Punta Gorda, FL
National Provider Identifier
1487967949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW9751
- Practice address
- 24451 Sandhill Blvd Unit B
Punta Gorda, FL 33983-5214 - Phone
- (941) 347-8447
- NPI assigned
- Jul 26, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 076877 | NY | |
| Clinical Social Worker | 1041C0700X | SW9751 | FL | Primary |
Addresses
Primary practice location
24451 Sandhill Blvd Unit B
Punta Gorda, FL 33983-5214
Mailing address
24451 Sandhill Blvd Unit B
Punta Gorda, FL 33983-5214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06381864 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076877 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1487967949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24451 SANDHILL BLVD UNIT B",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339835214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24451 SANDHILL BLVD UNIT B",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339835214",
"telephone_number": "941-347-8447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACLAIR",
"first_name": "DEBRA",
"middle_name": "D",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076877",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW9751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06381864",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.