Active NPI
Laura Leigh Gates, LCSW
- Clinical Social Worker
- Wickenburg, AZ
National Provider Identifier
1922176353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-12968
- Practice address
- 515 Desert Canyon Rd
Wickenburg, AZ 85390-3360 - Phone
- (203) 449-0972
- NPI assigned
- Dec 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-12968 | AZ | Primary |
Addresses
Primary practice location
515 Desert Canyon Rd
Wickenburg, AZ 85390-3360
Mailing address
515 Desert Canyon Rd
Wickenburg, AZ 85390-3360
Phone (203) 449-0972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW-12968 | Other | AZ | LCSW LICENSE |
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 |
|---|---|---|---|
| LCSW-12968 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1922176353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 DESERT CANYON RD",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853903360",
"telephone_number": "203-449-0972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 DESERT CANYON RD",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853903360",
"telephone_number": "203-449-0972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "LAURA",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-02",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-12968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW LICENSE",
"identifier": "LCSW-12968",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wickenburg, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.