Lauren Carter, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0007251 Issued in OH

Practice address

7575 Fredle Drive
Suite 102
Concord, OH 44077

Phone

(440) 725-6101

Fax

(440) 350-6212

NPI assigned

Jun 12, 2006

Last updated

Aug 20, 2013By 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

Other identifiers 3

Other names 1

• Lauren Moore Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diane Eden, MD & Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Willoughby Hills, OH
  • NPI 1760449813
  NPD (past)
• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Clinical

  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1962444927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 FREDLE DR STE 102",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779413",
            "telephone_number": "440-725-6101",
            "fax_number": "440-350-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 FREDLE DRIVE",
            "address_2": "SUITE 102",
            "city": "CONCORD",
            "state": "OH",
            "postal_code": "44077",
            "telephone_number": "440-725-6101",
            "fax_number": "440-350-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0007251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS TAX IDENTIFICATION NUMBER",
            "identifier": "45-0486565",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CARESOURCE 450486565",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2736267",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MOORE",
            "credential": "L.I.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Advanced Concepts in Endoscopy LLC
• Laura Bradford, COTA/L
• Concord Village Skilled Nursing & Rehabilitation, LTD
• Sean Francis Curran, D.D.S.
• DRS. Hill and Chapnick, Inc.
• Halcyon Psychological Services Inc (Diane K Mahoney PhD)
• Joanne A. Schoen, M.D.

• Clinical Social Worker in Concord, OH
• Providers in Concord, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.