Clint D Laird, LCSW & RPT

Primary specialty

Social WorkerTaxonomy code 104100000X

License

094326 Issued in NY

Practice address

125 E 23Rd St Ste 304
New York, NY 10010-4576

Phone

(937) 307-8793

NPI assigned

Sep 22, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Clint D Fisher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ackerman Institute for the Family

  • Marriage & Family Therapist
  • New York, NY
  • NPI 1467505792
  NPD (past)
• Ackerman Institute for the Family

  • Case Management Agency
  • New York, NY
  • NPI 1740680511
  NPD (past)

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1679942502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E 23RD ST STE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104576",
            "telephone_number": "937-307-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 23RD ST STE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104576",
            "telephone_number": "937-307-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "CLINT",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LCSW & RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-22",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1200134",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLINT",
            "last_name": "FISHER",
            "middle_name": "D",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Laiken, M.S, L.AC.
• Dana Laikhram, MD
• Michael Frank Laikin, M.D.
• Tatiaana Laine
• Elena Laios, CCC-SLP
• Justin Laird, PHD, LP
• Roy James Laird, PH.D., LCSW-R
• Mia Laitin
• Benjamin Morris Laitman, MD, PHD
• Megan Elizabeth Laitman, MS, OTR/L

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.