Laura A Willenborg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006314A Issued in IN

Practice address

100 Saw Mill Rd Ste 3200
Lafayette, IN 47905-5597

Phone

(765) 413-5835

Fax

(765) 227-3349

NPI assigned

Apr 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura A Alexander Former name

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Laura Willenborg Counseling LLC

  • Clinical Social Worker
  • Lafayette, IN
  • NPI 1861952210
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1528326485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SAW MILL RD STE 3200",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055597",
            "telephone_number": "765-413-5835",
            "fax_number": "765-227-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAW MILL RD STE 3200",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055597",
            "telephone_number": "765-413-5835",
            "fax_number": "765-227-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLENBORG",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006314A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ALEXANDER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Wilder, ATC
• Anna L Wildermuth, MD
• Michael Brian Wildermuth, M.D.
• Patricia J Wilkerson, MSW, LSW
• Sean Wilkes, MD, MSC
• Williams Chiropractic Corp PC
• Williams Personalized Care LLC
• Anaise Williams
• Chelsy Williams
• Douglas Lawrence Williams, DC DOCTOR OF CHIROPR

• Clinical Social Worker in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.

Verify at the official NPI Registry.