Organization Active NPI

Laura B Drew LCSW LLC

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1548712045
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAURA B DREW LCSW LLC
Practice address
2950 Breckenridge LN
Suite 10a
Louisville, KY 40220-1462
Phone
(502) 451-6887
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Laura B Drew, LCSW
Title
President
Phone
(502) 451-6887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2950 Breckenridge LN
Suite 10a
Louisville, KY 40220-1462

Mailing address

2950 Breckenridge LN
Suite 10a
Louisville, KY 40220-1462
Phone (502) 451-6887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161130002657 KY Part B Supplier - Clinic/Group Practice 2163702580 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

2950 Breckenridge Ln
Ste 10A
Louisville, KY 40220
Phone (502) 451-6887

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1548712045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 BRECKENRIDGE LN",
            "address_2": "SUITE 10A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201462",
            "telephone_number": "502-451-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 BRECKENRIDGE LN",
            "address_2": "SUITE 10A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201462",
            "telephone_number": "502-451-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA B DREW LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-451-6887",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.