Individual provider Active NPI

David Lee Word, LCSW

  • Clinical Social Worker
  • La Porte, IN
National Provider Identifier
1881742930
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
99023274A Issued in IN
Practice address
41230 State Road 2 W
Suite B
Laporte, IN 46350
Phone
(219) 862-2145
Fax
(219) 362-1143
NPI assigned
Jan 8, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 99023274A IN Primary

Addresses

Primary practice location

41230 State Road 2 W
Suite B
Laporte, IN 46350

Mailing address

5360 Lincoln St
Merrillville, IN 46410-1353
Phone (219) 362-2145

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

LicenseStateTypeSpecialty
99023274AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881742930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 LINCOLN ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101353",
            "telephone_number": "219-362-2145",
            "fax_number": "219-862-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41230 STATE ROAD 2 W",
            "address_2": "SUITE B",
            "city": "LAPORTE",
            "state": "IN",
            "postal_code": "46350",
            "telephone_number": "219-862-2145",
            "fax_number": "219-362-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORD",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "99023274A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.