Individual provider Active NPI

Lauren M Temple, LISW-S

  • Social Worker
  • Longmeadow, MA
National Provider Identifier
1497054076
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.1200469-SUPV Issued in OH
Practice address
45 Mayfair Dr
Longmeadow, MA 01106-1854
Phone
(248) 345-6773
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 I.1200469-SUPV OH Primary

Addresses

Primary practice location

45 Mayfair Dr
Longmeadow, MA 01106-1854

Mailing address

PO Box 93
West Springfield, MA 01090-0093

Other practice location 1

22001 Fairmount Blvd
Shaker Heights, OH 44118-4819
Phone (216) 320-8476

Other practice location 2

7232 Justin Way
Mentor, OH 44060-4881
Phone (440) 578-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240508002478 OH Practitioner - Clinical Social Worker 0840631875 Reassigns benefits to 1 organization
I20251117001819 MA Practitioner - Clinical Social Worker 0840631875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19 Midstate Dr
Suite 110
Auburn, MA 01501-1858

19 Midstate Dr
Suite 110
Auburn, MA 01501-1865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health, Inc CurrentSince Apr 9, 2024 Accepting new patients
Holyoke Capital JV, LLC CurrentSince Aug 29, 2025 Accepting new patients
Signature Health Inc CurrentSince Apr 9, 2024 Accepting new patients
Signature Health, Inc. Current Accepting new patients

Locations

1233 Main St
Holyoke, MA 01040
Phone (413) 264-0819

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

38882 Mentor Ave
Willoughby, OH 44094

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

Organizations & group practices 4

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1497054076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010900093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MAYFAIR DR",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061854",
            "telephone_number": "248-345-6773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22001 Fairmount Blvd",
            "address_purpose": "LOCATION",
            "city": "Shaker Heights",
            "state": "OH",
            "postal_code": "441184819",
            "country_code": "US",
            "telephone_number": "216-320-8476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7232 Justin Way",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440604881",
            "country_code": "US",
            "telephone_number": "440-578-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "LAUREN",
        "middle_name": "M",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1200469-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.