Active NPI
Kenneth Lauritzen, PHD, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1568129054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 114753-01
- Practice address
- 145 4TH Ave Apt 17H
New York, NY 10003-4924 - Phone
- (646) 247-6696
- NPI assigned
- Nov 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 114753-01 | NY | Primary |
Addresses
Primary practice location
145 4TH Ave Apt 17H
New York, NY 10003-4924
Mailing address
145 4TH Ave Apt 17H
New York, NY 10003-4924
Phone (646) 247-6696
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114753-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1568129054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 4TH AVE APT 17H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034924",
"telephone_number": "646-247-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 4TH AVE APT 17H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034924",
"telephone_number": "646-247-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURITZEN",
"first_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "PHD, LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-19",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "114753-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.