Active NPI
Lauren Spragg Wakeman, LCSW
- Clinical Social Worker
- Columbia, MO
National Provider Identifier
1528320744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2015012177
- Practice address
- 800 Hospital Dr
Columbia, MO 65201-5275 - Phone
- (573) 814-6312
- NPI assigned
- Jun 13, 2012
- Last updated
- Jul 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2012018408 | MO | |
| Clinical Social Worker | 1041C0700X | 2015012177 | MO | Primary |
Addresses
Primary practice location
800 Hospital Dr
Columbia, MO 65201-5275
Mailing address
800 Hospital Dr
Columbia, MO 65201-5275
Phone (573) 814-6312
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2012018408 | MO | MD | Social Worker |
| 2015012177 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1528320744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015275",
"telephone_number": "573-814-6312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015275",
"telephone_number": "573-814-6312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKEMAN",
"first_name": "LAUREN",
"middle_name": "SPRAGG",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-13",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2012018408",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2015012177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
- Marti Gaye Waigandt, O.D.
- Lara Lynn Wakefield, PH.D., CCC-SLP
- Mark Richard Wakefield, MD
- Rhett Jayson Wakefield
- Brooke Nichole Wakeman, MD
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0451)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0080)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0159)
- Wal-Mart Stores East, LP (Vision Center 30-0080)
- Wal-Mart Stores East, LP (Vision Center 30-0159)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.