Active NPI
Laura Helen Alcock, MSW, LCSW
- Clinical Social Worker
- Boonville, IN
National Provider Identifier
1508185356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007256A
- Practice address
- 315 S 3Rd St
Boonville, IN 47601-1723 - Phone
- (812) 897-4776
- Fax
- (812) 422-7558
- NPI assigned
- May 19, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evansville, IN
- NPI 1033108766
IN
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evansville, IN
- NPI 1255168126
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwestern Behavioral Healthcare Inc
Practice addresses (Care Compare)
315 S 3Rd St
Boonville, IN 47601-1723
Phone (812) 897-4776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150702000274 | IN | Practitioner - Clinical Social Worker | 4880906981 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33003624A | IN | MD | Social Worker |
| 34007256A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Behavioral Healthcare, Inc. | Current | Accepting new patients | |
| Southwestern Behavioral Healthcare, Inc. | Current | Accepting new patients |
Locations
315 S 3rd St
Boonville, IN 47601
Phone (812) 897-4776
415 Mulberry St
Evansville, IN 47713
Phone (812) 436-4232
320 S 5th Ave
Princeton, IN 47670
Phone (812) 385-5275
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33003624A | IN | |
| Clinical Social Worker | 1041C0700X | 34007256A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
315 S 3Rd St
Boonville, IN 47601-1723
Mailing address
415 Mulberry St
Evansville, IN 47713-1230
Phone (812) 423-7791
Other names 1
NPPES NPI Registry- Ms. Laura Helen Reynolds
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2015.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1508185356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MULBERRY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131230",
"telephone_number": "812-423-7791",
"fax_number": "812-422-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S 3RD ST",
"city": "BOONVILLE",
"state": "IN",
"postal_code": "476011723",
"telephone_number": "812-897-4776",
"fax_number": "812-422-7558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCOCK",
"first_name": "LAURA",
"middle_name": "HELEN",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33003624A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007256A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "REYNOLDS",
"middle_name": "HELEN",
"prefix": "MS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.