Individual provider Active NPI

Laura Jane McConville, LSW

  • Clinical Social Worker
  • Westwood, NJ
National Provider Identifier
1700692563
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL07035600 Issued in NJ
Practice address
569 Broadway
Westwood, NJ 07675-1663
Phone
(201) 957-1800
NPI assigned
Dec 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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 44SL07035600 NJ Primary

Addresses

Primary practice location

569 Broadway
Westwood, NJ 07675-1663

Mailing address

25 E Salem St
Hackensack, NJ 07601-7427
Phone (201) 646-0333

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL07035600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behavioral Healthcare, Inc. Clinical CurrentSince Dec 8, 2024 Accepting new patients
Comprehensive Behavioral Healthcare, Inc. Clinical PastSince Dec 8, 2024 Accepting new patients

Locations

25 E Salem St
Hackensack, NJ 07601
Phone (201) 546-5839

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1700692563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E SALEM ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017427",
            "telephone_number": "201-646-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 BROADWAY",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751663",
            "telephone_number": "201-957-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONVILLE",
        "first_name": "LAURA",
        "middle_name": "JANE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL07035600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.