Individual provider Active NPI

Amy Claire Laser, LCSW, AADC

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1619504396
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
AR-9108-C Issued in AR
Practice address
210 S. Pulaski St.
Little Rock, AR 72201
Phone
(501) 456-4515
Fax
(501) 295-0005
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A-462 AR
Clinical Social Worker 1041C0700X 9108-C AR
Clinical Social Worker 1041C0700X AR-9108-C AR Primary

Addresses

Primary practice location

210 S. Pulaski St.
Little Rock, AR 72201

Mailing address

6834 Cantrell Rd.
Ste. 1187
Little Rock, AR 72207
Phone (769) 487-7529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20200526001956 AR Practitioner - Clinical Social Worker 5092136218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CenfamGroup PAC ID 9931463254, 3 clinicians

Practice addresses (Care Compare)

218 N McKinley St
Life Forward Counseling
Little Rock, AR 72205-3120
Phone 5017472300109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-462ARMDAddiction (Substance Use Disorder) Counselor
AR-9108-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cenfam Addiction (Substance Use Disorder) CurrentSince May 18, 2020 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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1619504396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6834 CANTRELL RD.",
            "address_2": "STE. 1187",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72207",
            "telephone_number": "769-487-7529",
            "fax_number": "501-295-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S. PULASKI ST.",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72201",
            "telephone_number": "501-456-4515",
            "fax_number": "501-295-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASER",
        "first_name": "AMY",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "LCSW, AADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-06-06",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "A-462",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "9108-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "AR-9108-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.