Individual provider Active NPI

Lauren Groves Kraemer, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1508176322
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50078527 Issued in DC
Practice address
1200 1St St NE FL 9
Washington, DC 20002-7953
Phone
(202) 442-5885
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50078527 DC Primary
School Social Worker 1041S0200X LC50078527 DC

Addresses

Primary practice location

1200 1St St NE FL 9
Washington, DC 20002-7953

Mailing address

1200 1St St NE FL 9
Washington, DC 20002-7953
Phone (202) 442-5885

Other practice location 1

64 New York Ave NE
Washington, DC 20002-3320
Phone (202) 698-2431

Other identifiers 1

IdentifierTypeStateIssuer
536001131MedicaidDC

Other names 1

  • Lauren Angela Groves Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC50078527DCMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1508176322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST ST NE FL 9",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027953",
            "telephone_number": "202-442-5885",
            "fax_number": "202-698-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 1ST ST NE FL 9",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027953",
            "telephone_number": "202-442-5885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 New York Ave NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200023320",
            "country_code": "US",
            "telephone_number": "202-698-2431",
            "fax_number": "202-698-2466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAEMER",
        "first_name": "LAUREN",
        "middle_name": "GROVES",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078527",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "DC",
            "license": "LC50078527",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "536001131",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "GROVES",
            "middle_name": "ANGELA",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.