Individual provider Active NPI

Laurie Ruth Waxler, L.C.S.W.

  • Clinical Social Worker
  • Tarrytown, NY
National Provider Identifier
1578799326
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
017430 Issued in NY
Practice address
34 Maple Ave
Tarrytown, NY 10591-5010
Phone
(914) 524-9646
Fax
(914) 524-9646
NPI assigned
Jun 8, 2009
Last updated
Jun 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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 017430 NY Primary

Addresses

Primary practice location

34 Maple Ave
Tarrytown, NY 10591-5010

Mailing address

34 Maple Ave
Tarrytown, NY 10591-5010
Phone (914) 524-9646

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20090709000061 NY Practitioner - Clinical Social Worker 5597817320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34 Maple Ave
Tarrytown, NY 10591-5010
Phone 9145249646914524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017430NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie Waxler CSW PC CurrentSince Jul 9, 2009 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1578799326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MAPLE AVE",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915010",
            "telephone_number": "914-524-9646",
            "fax_number": "914-524-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MAPLE AVE",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915010",
            "telephone_number": "914-524-9646",
            "fax_number": "914-524-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXLER",
        "first_name": "LAURIE",
        "middle_name": "RUTH",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "017430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.