Individual provider Active NPI

Laurie J Laporta, LCSW-R

  • Clinical Social Worker
  • Orchard Park, NY
National Provider Identifier
1679669337
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069526 REGISTERED Issued in NY
Practice address
3959 N Buffalo St Ste 2
Orchard Park, NY 14127-1841
Phone
(716) 597-5890
Fax
(716) 408-8991
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 069526 REGISTERED NY Primary

Addresses

Primary practice location

3959 N Buffalo St Ste 2
Orchard Park, NY 14127-1841

Mailing address

3959 N Buffalo St Ste 2
Orchard Park, NY 14127-1841
Phone (716) 597-5890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070413000111 NY Practitioner - Clinical Social Worker 6002911419 Practice locations: Orchard Park, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
069526 REGISTEREDNYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Towns Wellness LCSW PLLC Clinical PastSince Aug 30, 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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1679669337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 N BUFFALO ST STE 2",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271841",
            "telephone_number": "716-597-5890",
            "fax_number": "716-408-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 N BUFFALO ST STE 2",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271841",
            "telephone_number": "716-597-5890",
            "fax_number": "716-408-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPORTA",
        "first_name": "LAURIE",
        "middle_name": "J",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069526 REGISTERED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.