Individual provider Active NPI

Jennifer Lyn Lauger, LCSW

  • Clinical Social Worker
  • Jamestown, NY
National Provider Identifier
1992105746
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086956 Issued in NY
Practice address
515 Pine St
Jamestown, NY 14701-5345
Phone
(716) 450-8793
Fax
(716) 303-7009
NPI assigned
Aug 29, 2014
Last updated
Aug 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 086956 NY Primary
Clinical Social Worker 1041C0700X 092300 NY

Addresses

Primary practice location

515 Pine St
Jamestown, NY 14701-5345

Mailing address

400 Christmas Tree LN
P.O.Box 42
Pittsfield, PA 16340-5307
Phone (585) 770-4919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141030001451 NY Practitioner - Clinical Social Worker 6608097985 Reassigns benefits to 1 organization
I20240904003253 PA Practitioner - Clinical Social Worker 6608097985 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092300NYMDSocial Worker
086956NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deerfield Behavioral Health of Warren, LLC Clinical CurrentSince Aug 22, 2024 Accepting new patients
Children's Center for Treatment and Education CurrentSince Aug 22, 2024 Accepting new patients
Childrens Center for Treatment and Education Clinical CurrentSince Aug 22, 2024 Accepting new patients
Breakthrough Counseling, LCSW CurrentSince Aug 5, 2025 Accepting new patients

Locations

23 Kennedy St
Bradford, PA 16701
Phone (814) 723-1832

47 Beacon Light Way
Bradford, PA 16701

1003 Pennsylvania Ave W
Warren, PA 16365
Phone (814) 723-5545

1885 Market St
Warren, PA 16365
Phone (814) 723-1832

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756598400000",
    "number": "1992105746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHRISTMAS TREE LN",
            "address_2": "P.O.BOX 42",
            "city": "PITTSFIELD",
            "state": "PA",
            "postal_code": "163405307",
            "telephone_number": "585-770-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PINE ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015345",
            "telephone_number": "716-450-8793",
            "fax_number": "716-303-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGER",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086956",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.