Individual provider Active NPI

Kristy L Lauer, LCSW

  • Clinical Social Worker
  • Perrysburg, NY
National Provider Identifier
1508180282
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079423-1 Issued in NY
Practice address
11531 Dewey Rd
Perrysburg, NY 14129-9707
Phone
(716) 560-5526
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 079423-1 NY Primary

Addresses

Primary practice location

11531 Dewey Rd
Perrysburg, NY 14129-9707

Mailing address

11531 Dewey Rd
Perrysburg, NY 14129-9707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20130927000323 NY Practitioner - Clinical Social Worker 7012141310 Practice locations: Gowanda, NY; Perrysburg, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11531 Dewey Rd
Perrysburg, NY 14129-9707
Phone (716) 560-5526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079423NYMDClinical Social Worker
079423-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Chautauqua Center, Inc CurrentSince Oct 20, 2014 Accepting new patients
Chautauqua County Chapter of Nysarc Inc Past Accepting new patients
Chautauqua Co. Chapter of Nysarc Inc Dba the Resource Center PastSince Aug 6, 2006 Accepting new patients

Locations

319 Central Ave
Ste B
Dunkirk, NY 14048

1134 Central Ave
Dunkirk, NY 14048
Phone (716) 366-6036

1 School St
Ste 106
Gowanda, NY 14070
Phone (716) 560-5526

1 School St
Ste 103
Gowanda, NY 14070
Phone (716) 560-5526

107 Institute St
Jamestown, NY 14701
Phone (716) 484-4334

Organizations & group practices 3

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": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1508180282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11531 DEWEY RD",
            "city": "PERRYSBURG",
            "state": "NY",
            "postal_code": "141299707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11531 DEWEY RD",
            "city": "PERRYSBURG",
            "state": "NY",
            "postal_code": "141299707",
            "telephone_number": "716-560-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUER",
        "first_name": "KRISTY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079423-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, NY

Sources for this page

Verify at the official NPI Registry.