Individual provider Active NPI

Lawrence Tepe, LISW

  • Clinical Social Worker
  • Youngstown, OH
National Provider Identifier
1649727751
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1801217 Issued in OH
Practice address
7690 South Ave
Youngstown, OH 44512-5723
Phone
(330) 758-0889
NPI assigned
Sep 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1450926 OH
Clinical Social Worker 1041C0700X I.1801217 OH Primary

Addresses

Primary practice location

7690 South Ave
Youngstown, OH 44512-5723

Mailing address

7690 South Ave
Youngstown, OH 44512-5723
Phone (330) 758-0889

Other identifiers 1

IdentifierTypeStateIssuer
0271340MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20181029002355 OH Practitioner - Clinical Social Worker 1557614146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1450926OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Family and Community Services CurrentSince Sep 18, 2018 Accepting new patients
Compass Family and Community Services Current Accepting new patients

Locations

1960 E County Line Rd
Ste 5
Mineral Ridge, OH 44440

535 Marmion Ave
Youngstown, OH 44502
Phone (330) 782-5664

284 Broadway Ave
Youngstown, OH 44504
Phone (330) 743-5309

Organizations & group practices 2

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1649727751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7690 SOUTH AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125723",
            "telephone_number": "330-758-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7690 SOUTH AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125723",
            "telephone_number": "330-758-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPE",
        "first_name": "LAWRENCE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1450926",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0271340",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.