Individual provider Active NPI

Layla Ware de Luria, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1528447133
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017707 Issued in PA
Practice address
4100 Main St Ste 403
Philadelphia, PA 19127-1623
Phone
(215) 487-3000
Fax
(215) 487-3111
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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 CW017707 PA Primary

Addresses

Primary practice location

4100 Main St Ste 403
Philadelphia, PA 19127-1623

Mailing address

1007 Nicholson Rd
Wynnewood, PA 19096-2001
Phone (215) 435-4117

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

LicenseStateTypeSpecialty
CW017707PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Older Women'S Network PastSince Jul 1, 2015 Accepting new patients

Organizations & group practices 1

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1528447133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 NICHOLSON RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962001",
            "telephone_number": "215-435-4117",
            "fax_number": "610-649-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MAIN ST STE 403",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271623",
            "telephone_number": "215-487-3000",
            "fax_number": "215-487-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE DE LURIA",
        "first_name": "LAYLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.