Lawrence Daniel Eres, LCSW, LADAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-07707 Issued in NM

Practice address

BLDG 1363, Aberdeen Ave
White Sands Missile Range, NM 88002

Phone

(575) 674-3500

NPI assigned

Mar 13, 2007

Last updated

Nov 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1730212226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 1363, ABERDEEN AVE",
            "city": "WHITE SANDS MISSILE RANGE",
            "state": "NM",
            "postal_code": "88002",
            "telephone_number": "575-674-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 1363, ABERDEEN AVE",
            "city": "WHITE SANDS MISSILE RANGE",
            "state": "NM",
            "postal_code": "88002",
            "telephone_number": "575-674-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERES",
        "first_name": "LAWRENCE",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LCSW, LADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0117991",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-07707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in White Sands Missile Range, NM
• Providers in White Sands Missile Range, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.