Active NPI
Laura C Chase, LCSW
- Clinical Social Worker
- Deland, FL
National Provider Identifier
1679596019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11071
- Practice address
- 647 S Woodland Blvd
Deland, FL 32720-5810 - Phone
- (571) 337-4997
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- 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 | 0904005047 | VA | |
| Clinical Social Worker | 1041C0700X | SW11071 | FL | Primary |
Addresses
Primary practice location
647 S Woodland Blvd
Deland, FL 32720-5810
Mailing address
1051 Stevens St
Lake Helen, FL 32744-3321
Phone (571) 337-4997
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008948267 | Medicaid | VA | |
| 9262550 | Other | VA | PHCS |
| 3541446 | Other | TX | AETNA HEALTH MGMT |
| 727392000 | Other | MD | MAGELLAN INS. |
| 250040 | Other | IL | COMPSYCH CORP. |
| 349561 | Other | VA | MHN INS. |
| 175575 | Other | VA | ANTHEM INS. |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grafton, Inc | Clinical | Past | 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": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1679596019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 STEVENS ST",
"city": "LAKE HELEN",
"state": "FL",
"postal_code": "327443321",
"telephone_number": "571-337-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 S WOODLAND BLVD",
"city": "DELAND",
"state": "FL",
"postal_code": "327205810",
"telephone_number": "571-337-4997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "LAURA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904005047",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008948267",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9262550",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH MGMT",
"identifier": "3541446",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN INS.",
"identifier": "727392000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH CORP.",
"identifier": "250040",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN INS.",
"identifier": "349561",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INS.",
"identifier": "175575",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.