Evelyn Paulma Laurel, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17330 Issued in TX

Practice address

2200 Bergquist Dr
Suite 1
Lackland a F B, TX 78236-9907

Phone

(210) 292-7719

Fax

(210) 292-6266

NPI assigned

Aug 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932110244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 WELLESLEY MANOR DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402165",
            "telephone_number": "210-696-2291",
            "fax_number": "210-696-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "address_2": "SUITE 1",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782369907",
            "telephone_number": "210-292-7719",
            "fax_number": "210-292-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUREL",
        "first_name": "EVELYN",
        "middle_name": "PAULMA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "17330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Bryant Lammy, PH.D.
• Benjamin Paul Landry, CRNA
• Maureen Ellen Lang, DDS,MS
• Robert Bruce Larsen, DDS
• David Meium Larson, PNP
• Felicia Lauten, NURSE PRACTITIONER
• Shinobu Lavin
• Christopher Kevin Lawler, D.O.
• Don Allen Lawrence, D.O
• Jeffrey Alan Lawson, M.D., M.P.H.

• Clinical Social Worker in Lackland AFB, TX
• Providers in Lackland AFB, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.