Laura M Carothers, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007176 Issued in IA

Practice address

2805 Eastern Ave Ste D
Davenport, IA 52803-2074

Phone

(563) 505-0141

Fax

(563) 275-6891

NPI assigned

Jul 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Courageous Aim LLC

  • Clinical Social Worker
  • Davenport, IA
  • NPI 1003538612
  Medicare reassignment NPD Authorized official
• Vera French Community Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bettendorf, IA
  • NPI 1568239978
  NPD (past)

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1497910608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 EASTERN AVE STE D",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032074",
            "telephone_number": "563-505-0141",
            "fax_number": "563-275-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 EASTERN AVE STE D",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032074",
            "telephone_number": "563-505-0141",
            "fax_number": "563-275-6891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2485 Tech Dr",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527223262",
            "country_code": "US",
            "telephone_number": "563-355-1611",
            "fax_number": "563-355-6617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAROTHERS",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074526",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Dermatology Center PC
• Beth Carlson, CNM
• Mikayla Ann Carlson
• Nicholas P. Carlson, ARNP
• Wayne Victor Carney, DC
• Joshua Carpenter, M.D.
• Scott A. Carpenter, D.C.
• Justin Carr, PHARMD
• Mary Lynn Carstens, L.AC.
• Bailey Carstensen

• Clinical Social Worker in Davenport, IA
• Providers in Davenport, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.

Verify at the official NPI Registry.