Organization Active NPI

Lauren D. Senoff, LCSW

  • Community Health Worker
  • Champaign, IL
National Provider Identifier
1679935969
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
149002453 Issued in IL
Legal business name
LAUREN D. SENOFF, LCSW
Practice address
206 N Randolph St
Suite 9
Champaign, IL 61820-3949
Phone
(217) 359-4066
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Lauren Dee Senoff, LCSWNPI 1609947928
Title
Clinical Social Worker
Phone
(217) 359-4066

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
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X 149002453 IL Primary

Addresses

Primary practice location

206 N Randolph St
Suite 9
Champaign, IL 61820-3949

Mailing address

206 N Randolph St
Suite 9
Champaign, IL 61820-3949
Phone (217) 359-4066

Other identifiers 1

IdentifierTypeStateIssuer
1609947928OtherILNPI 1609947928

National Provider Directory

National Provider Directory
Tax ID family
Lauren D Senoff LCSW2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

206 N Randolph St
Ste 9
Champaign, IL 61820
Phone (217) 359-4066

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1679935969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST",
            "address_2": "SUITE 9",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203949",
            "telephone_number": "217-359-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST",
            "address_2": "SUITE 9",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203949",
            "telephone_number": "217-359-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN D. SENOFF, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "SENOFF",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "217-359-4066",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "IL",
            "license": "149002453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1609947928",
            "identifier": "1609947928",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.