Active NPI
Laura Elena, LMSW
- Clinical Social Worker
- Gilbert, AZ
National Provider Identifier
1801276787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3004 E Derringer Way
Gilbert, AZ 85297-2150 - Phone
- (480) 510-4967
- NPI assigned
- Jun 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMSW-16325 | AZ | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3004 E Derringer Way
Gilbert, AZ 85297-2150
Mailing address
1910 S Stapley Dr Ste 221
Mesa, AZ 85204-6680
Phone (480) 510-4967
Other practice location 1
1910 S Stapley Dr Ste 221
Mesa, AZ 85204-6680
Phone (480) 510-4967
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-16325 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thryve Therapy LLC | Mental Health | Current | Accepting new patients |
Locations
1910 S Stapley Dr
Ste 221
Mesa, AZ 85204
Phone (480) 573-2262
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634342400000",
"number": "1801276787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 S STAPLEY DR STE 221",
"city": "MESA",
"state": "AZ",
"postal_code": "852046680",
"telephone_number": "480-510-4967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3004 E DERRINGER WAY",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852972150",
"telephone_number": "480-510-4967"
}
],
"practiceLocations": [
{
"address_1": "1910 S Stapley Dr Ste 221",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852046680",
"country_code": "US",
"telephone_number": "480-510-4967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELENA",
"first_name": "LAURA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-04",
"last_updated": "2021-10-16",
"certification_date": "2021-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LMSW-16325",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.