Organization Active NPI

Laurie Degrappo Licsw LLC

  • Clinical Social Worker
  • Ipswich, MA
National Provider Identifier
1639946304
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAURIE DEGRAPPO LICSW LLC
Practice address
2 Central St Ste 13
Ipswich, MA 01938-1940
Phone
(267) 879-1789
NPI assigned
Dec 4, 2023
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Laurie Degrappo, LICSWNPI 1699903773
Title
Owner
Phone
(267) 879-1789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2 Central St Ste 13
Ipswich, MA 01938-1940

Mailing address

2 Central St Ste 13
Ipswich, MA 01938-1940
Phone (267) 879-1789

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209001698 MA Part B Supplier - Clinic/Group Practice 2264968627 Receives reassigned benefits from 1 practitioner
Practice locations: Ipswich, MA

National Provider Directory

National Provider Directory

Locations

2 Central St
Ste 13
Ipswich, MA 01938
Phone (267) 879-1789

2 N Main St
Ste 3
Ipswich, MA 01938
Phone (267) 879-1789

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1639946304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CENTRAL ST STE 13",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019381940",
            "telephone_number": "267-879-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTRAL ST STE 13",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019381940",
            "telephone_number": "267-879-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE DEGRAPPO LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "DEGRAPPO",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-879-1789",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ipswich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.