Individual provider Active NPI

Lauren Scott Easley, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1821356643
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011793 Issued in NC
Practice address
1099 Medical Center Dr Ste 102
Wilmington, NC 28401-7367
Phone
(919) 445-0681
Fax
(919) 445-0691
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 55384 TX
Clinical Social Worker 1041C0700X 55384 TX
Case Manager/Care Coordinator 171M00000X 55384 TX
Clinical Social Worker 1041C0700X C011793 NC Primary

Addresses

Primary practice location

1099 Medical Center Dr Ste 102
Wilmington, NC 28401-7367

Mailing address

5800 Legacy Cir
#414
Plano, TX 75024-5680
Phone (972) 989-4890

Other names 1

  • Lauren Suzanne Scott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20190306000016 NC Practitioner - Clinical Social Worker 0446482897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Animo Sano Psychiatry PLLCGroup PAC ID 8729489182, 53 clinicians

Practice addresses (Care Compare)

5501 Fortunes Ridge Dr
Suite P
Durham, NC 27713-6102
Phone (919) 391-7202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C011793NCMDClinical Social Worker
55384TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Dec 31, 2018 Accepting new patients
Animo Sano Psychiatry PLLC CurrentSince May 1, 2023 Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5501 Fortunes Ridge Dr
Ste P
Durham, NC 27713
Phone (919) 319-7202

6409 Fayetteville Rd
Ste 120
Durham, NC 27713
Phone (561) 319-6188

2741 Campus Walk Ave
Bldg 400
Durham, NC 27705
Phone (919) 909-1230

1099 Medical Center Dr
Ste 102
Wilmington, NC 28401
Phone (919) 445-0680

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1821356643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 LEGACY CIR",
            "address_2": "#414",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245680",
            "telephone_number": "972-989-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER DR STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017367",
            "telephone_number": "919-445-0681",
            "fax_number": "919-445-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASLEY",
        "first_name": "LAUREN",
        "middle_name": "SCOTT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "55384",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55384",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "55384",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "SCOTT",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.