Organization Active NPI

Lauri Obrien LCSW LLC

  • Clinical Social Worker
  • Madison, NJ
National Provider Identifier
1609595164
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAURI OBRIEN LCSW LLC
Practice address
37 Kings Rd
Madison, NJ 07940-2500
Phone
(973) 255-0192
NPI assigned
Aug 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Lauri Obrien
Title
Provider
Phone
(973) 255-0192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

37 Kings Rd
Madison, NJ 07940-2500

Mailing address

39 Knollwood Ave
Madison, NJ 07940-1743
Phone (973) 255-0192

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221018000715 NJ Part B Supplier - Clinic/Group Practice 2860868734 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1609595164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 KNOLLWOOD AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401743",
            "telephone_number": "973-255-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 KINGS RD",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402500",
            "telephone_number": "973-255-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURI OBRIEN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "973-255-0192"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.