Individual provider Active NPI

Lauren Elizabeth Lara, LCSW

  • Clinical Social Worker
  • Selden, NY
National Provider Identifier
1902539570
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091434 Issued in NY
Practice address
17 Eagle St
Selden, NY 11784-3819
Phone
(631) 374-6143
NPI assigned
Jul 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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 091434 NY Primary

Addresses

Primary practice location

17 Eagle St
Selden, NY 11784-3819

Mailing address

17 Eagle St
Selden, NY 11784-3819
Phone (631) 374-6143

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL lauren.e.lara@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091434NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1902539570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EAGLE ST",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117843819",
            "telephone_number": "631-374-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EAGLE ST",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117843819",
            "telephone_number": "631-374-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lauren.e.lara@gmail.com",
            "affiliation": "N",
            "address_1": "17 Eagle St",
            "city": "Selden",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117843819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Selden, NY

Sources for this page

Verify at the official NPI Registry.