Active NPI
Lawrence (Larry) Edward Lawson, MASTER OF SOCIAL WOR
- Clinical Social Worker
- Salem, OR
National Provider Identifier
1649355629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L000567
- Practice address
- 4035 12TH Street Cutoff SE
Suite 140
Salem, OR 97302 - Phone
- (503) 391-2363
- Fax
- (503) 315-7571
- NPI assigned
- Oct 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L000567 | OR | Primary |
| Marriage & Family Therapist | 106H00000X | T0197 | OR |
Addresses
Primary practice location
4035 12TH Street Cutoff SE
Suite 140
Salem, OR 97302
Mailing address
4035 12TH Street Cutoff SE
Suite 140
Salem, OR 97302
Phone (503) 391-2363
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L000567 | OR | MD | Clinical Social Worker |
| T0197 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1649355629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4035 12TH STREET CUTOFF SE",
"address_2": "SUITE 140",
"city": "SALEM",
"state": "OR",
"postal_code": "97302",
"telephone_number": "503-391-2363",
"fax_number": "503-315-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4035 12TH STREET CUTOFF SE",
"address_2": "SUITE 140",
"city": "SALEM",
"state": "OR",
"postal_code": "97302",
"telephone_number": "503-391-2363",
"fax_number": "503-315-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "LAWRENCE (LARRY)",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "MASTER OF SOCIAL WOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L000567",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0197",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.