Active NPI
Lauren Legnitto
- Clinical Social Worker
- Grants Pass, OR
National Provider Identifier
1942953674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1877 Williams Hwy
Grants Pass, OR 97527-5802 - Phone
- (541) 955-5551
- NPI assigned
- Feb 2, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106731 | TX | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1877 Williams Hwy
Grants Pass, OR 97527-5802
Mailing address
1877 Williams Hwy
Grants Pass, OR 97527-5802
Other practice location 1
501 s Saunders Ave
Suite 320
Tyler, TX 75702
Phone (903) 606-4300
Other practice location 2
910 E Houston St Ste 270
Tyler, TX 75702-8367
Phone (903) 606-4300
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 |
|---|---|---|---|
| 106731 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1942953674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1877 WILLIAMS HWY",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1877 WILLIAMS HWY",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275802",
"telephone_number": "541-955-5551"
}
],
"practiceLocations": [
{
"address_1": "501 s Saunders Ave",
"address_2": "Suite 320",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "75702",
"country_code": "US",
"telephone_number": "903-606-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 E Houston St Ste 270",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028367",
"country_code": "US",
"telephone_number": "903-606-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEGNITTO",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-02",
"last_updated": "2022-10-19",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "106731",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.