Lauren Ashley Richard Holt, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

088456-1 Issued in NY

Practice address

408 Main St
Center Moriches, NY 11934-3518

Phone

(631) 874-0185

Fax

(631) 909-3558

NPI assigned

Nov 12, 2015

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 names 1

• Ms. Lauren Ashley Richard Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Qureshi Medical Services PLLC

  • Psychiatry Physician
  • Center Moriches, NY
  • NPI 1316763162
  NPD (past)

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1992178917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 THOMAS LANE",
            "city": "E.SETAUKET",
            "state": "NY",
            "postal_code": "117330001",
            "telephone_number": "631-375-1865",
            "fax_number": "631-909-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MAIN ST",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343518",
            "telephone_number": "631-874-0185",
            "fax_number": "631-909-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD HOLT",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "088456-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "RICHARD",
            "middle_name": "ASHLEY",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Qureshi Medical Services PLLC
• Ralph Frederick Ranghelli III, DMD
• Gayle S Rawlings, MS
• Michael Wayne Reid, LPN
• Jorge Alberto Reiley, MD
• Petros-Emmanouil Rizkalla
• John J Roche, DMD
• Natalie L Romero, RN
• Odessa E Roque, OTR/L
• Marina Roux, LCSW-R

• Social Worker in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.