Jaclyn Lawrence

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

099134 Issued in NY

Practice address

260 Madison Ave Ste 8006
New York, NY 10016-2400

Phone

(212) 335-0511

NPI assigned

Nov 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Comprehensive Counseling LCSW, PLLC

  • Clinical Social Worker
  • Bayside, NY
  • NPI 1982798773
  Medicare reassignment NPD
• Peaceful Way Psychology PLLC

  • Psychologist
  • New York, NY
  • NPI 1215325261
  NPD

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1730631920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MADISON AVE STE 8006",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162400",
            "telephone_number": "212-335-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MADISON AVE STE 8006",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162400",
            "telephone_number": "212-335-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "JACLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah M'Liss Lawrence, PHD
• Debra Lynn Lawrence, PHD
• Eleanor Storer Lawrence, L.AC, MSTOM
• Evan Lawrence, LMHC
• Hugh Lawrence Jr., PA
• Julia Lawrence, LCSW
• Katharine Lawrence
• Lamisha Marie Lawrence
• Lindsey Lawrence, MD, MPH
• Louisa Q. Lawrence, LOUISA LAWRENCE CSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.