David Charles Laughlin, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5385 Issued in ND

Practice address

505 40TH St S Unit B
Fargo, ND 58103-1184

Phone

(701) 478-8440

Fax

(651) 925-0046

NPI assigned

Mar 29, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sharehouse Genesis

  • Substance Abuse Rehabilitation Facility
  • Fargo, ND
  • NPI 1356576979
  NPD (past)

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1821559907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 40TH ST S UNIT B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031184",
            "telephone_number": "701-478-8440",
            "fax_number": "651-925-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 40TH ST S UNIT B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031184",
            "telephone_number": "701-478-8440",
            "fax_number": "651-925-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510183396",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Robin Elaine Lauth
• Jolene Corrinne Lautt
• Brittany Lavallie
• Grace Catherine Lavandowska, MD
• Jill M Lavelle, M.ED. LAC

• Social Worker in Fargo, ND
• Providers in Fargo, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.