NPIMap

Individual provider Active NPI

Erin Lavidor, LICSW

  • Clinical Social Worker
  • Lowell, MA
National Provider Identifier
1962704767
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113740 Issued in MA
Practice address
17 Warren Street
Lowell, MA 01852-2216
Phone
(978) 937-9448
Fax
(978) 970-2225
NPI assigned
Nov 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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 113740 MA Primary

Addresses

Primary practice location

17 Warren Street
Lowell, MA 01852-2216

Mailing address

585-597 Merrimack Street
Lowell, MA 01854-3908
Phone (978) 937-9448

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

LicenseStateTypeSpecialty
113740MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lowell Community Health Center, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1962704767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585-597 MERRIMACK STREET",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543908",
            "telephone_number": "978-937-9448",
            "fax_number": "978-970-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WARREN STREET",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522216",
            "telephone_number": "978-937-9448",
            "fax_number": "978-970-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIDOR",
        "first_name": "ERIN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.