Laura Christine Faiai

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

69652 Issued in TX

Practice address

1231 Newman Ave
Iowa Park, TX 76367-2752

Phone

(940) 613-7180

NPI assigned

Nov 3, 2023

Last updated

Nov 3, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1497528269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 NEWMAN AVE",
            "city": "IOWA PARK",
            "state": "TX",
            "postal_code": "763672752",
            "telephone_number": "940-613-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 NEWMAN AVE",
            "city": "IOWA PARK",
            "state": "TX",
            "postal_code": "763672752",
            "telephone_number": "940-613-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIAI",
        "first_name": "LAURA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Educare Community Living Limited Partnership
• Albert Ehrhardt, D.D.S.
• Electra Hospital District (Iowa Park Pharmacy)
• Electra Hospital District (Park Clinic)
• Electra Hospital District (Iowa Park Clinic)
• Sarah Fulfer, LPC
• Justin David Gellner, FNP-C
• Staci Nicole Gonzales
• Beau Ashley Gray, CSFA
• Guardian Health Systems Iowa Park

• Clinical Social Worker in Iowa Park, TX
• Providers in Iowa Park, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.