Active NPI
Laura M Crouch, LCSW
- Clinical Social Worker
- Auburn, NY
National Provider Identifier
1962963330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 083694-1
- Practice address
- 101 Hamilton Ave
Auburn, NY 13021-5028 - Phone
- (315) 253-5383
- Fax
- (315) 253-7278
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 083694-1 | NY | Primary |
Addresses
Primary practice location
101 Hamilton Ave
Auburn, NY 13021-5028
Mailing address
101 Hamilton Ave
Auburn, NY 13021-5028
Phone (315) 253-5383
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laura.crouch@cayugacenters.org | Direct | Cayuga Home for Children |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 1, 2023 through May 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083694-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1962963330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HAMILTON AVE",
"city": "AUBURN",
"state": "NY",
"postal_code": "130215028",
"telephone_number": "315-253-5383",
"fax_number": "315-253-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HAMILTON AVE",
"city": "AUBURN",
"state": "NY",
"postal_code": "130215028",
"telephone_number": "315-253-5383",
"fax_number": "315-253-7278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUCH",
"first_name": "LAURA",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "083694-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laura.crouch@cayugacenters.org",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Cayuga Home for Children",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "101 Hamilton Ave",
"city": "Auburn",
"state": "NY",
"country_code": "US",
"postal_code": "130215028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.