Laurie Jane Wilmot, LCSW, CADCIII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4105 Issued in OR

Practice address

1345 NW Wall St Ste 201
Bend, OR 97701-1967

Phone

(541) 280-1570

NPI assigned

Sep 2, 2009

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

Practice roles

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.

• Sage Behavioral Counseling LLC

  • Community/Behavioral Health Agency
  • Bend, OR
  • NPI 1992093421
  NPD (past) Authorized official

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1982837290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 NW JACKSONVILLE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012228",
            "telephone_number": "541-280-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 NW WALL ST STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011967",
            "telephone_number": "541-280-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMOT",
        "first_name": "LAURIE",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "credential": "LCSW, CADCIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Williams, MSW,LCSW
• Kristin M Williamson, MS, CCC-SLP
• Leah Alice Williamson, LPCI
• Daniel Levi Willis, M.D.
• Karen Windolf Willow, LCSW
• Anna Elizabeth Wilson, M.S., CCC-SLP
• Chelsey C Wilson, LMT
• Faith Wilson, DC
• Haley Wilson, MA
• Jaron Wilson, ATC

• Clinical Social Worker in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.