Individual provider Active NPI

Laura Helen Alcock, MSW, LCSW

  • Clinical Social Worker
  • Boonville, IN
National Provider Identifier
1508185356
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007256A Issued in IN
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.

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 37 clinicians

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150702000274 IN Practitioner - Clinical Social Worker 4880906981 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33003624AINMDSocial Worker
34007256AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Behavioral Healthcare, Inc. CurrentSince Jun 8, 2015 Accepting new patients
Southwestern Behavioral Healthcare, Inc. CurrentSince Jun 8, 2015 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)CodeLicenseStatePrimary
Social Worker 104100000X 33003624A IN
Clinical Social Worker 1041C0700X 34007256A IN Primary

Addresses

NPPES NPI Registry

Primary 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 Former name

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

Verify at the official NPI Registry.