Lara Buchanan, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110991 Issued in MA

Practice address

69 Grove St
Watertown, MA 02472-2826

Phone

(617) 923-4156

NPI assigned

Oct 21, 2018

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

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": "1540080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540080000000",
    "number": "1811463565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SUMMER ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202813",
            "telephone_number": "617-461-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 GROVE ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722826",
            "telephone_number": "617-923-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "LARA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-21",
        "last_updated": "2018-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin L Browne, P.T.
• Joanna Brownstein, MSW, LICSW
• Lindsey Lee Bryant
• Leslie Anne Bublick, NP
• James Edward Bucciarelli
• Eleanor A Bueno, D.O.
• Alyson Bullock, AMFT
• Theresa Jill Burhoe, LCSW
• Jacqueline Marie Burke, PHARM.D.
• Emily Burns

• All providers in Watertown, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2018; 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.