Active NPI
Lauri M Spies, LCSW
- Social Worker
- Rutherford, NJ
National Provider Identifier
1891710349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SC05190200
- Practice address
- 55 Myrtle St
Rutherford, NJ 07070 - Phone
- (201) 615-3299
- Fax
- (201) 933-6026
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05190200 | NJ | |
| Social Worker | 104100000X | 44SC05190200 | NJ | Primary |
Addresses
Primary practice location
55 Myrtle St
Rutherford, NJ 07070
Mailing address
55 Myrtle St
Rutherford, NJ 07070
Phone (201) 615-3299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006602 | Medicaid | NJ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05190200 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1891710349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MYRTLE ST",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "07070",
"telephone_number": "201-615-3299",
"fax_number": "201-933-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MYRTLE ST",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "07070",
"telephone_number": "201-615-3299",
"fax_number": "201-933-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIES",
"first_name": "LAURI",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05190200",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SC05190200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006602",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.