Laura Jeanne Syvertson, LCSW is a
Social Worker - School based in Ithaca, New York. Laura Jeanne Syvertson is licensed to practice in * (Not Available) (license number ) and her current practice location is
334 W State St, Ithaca, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 273-5500.
NPI number for Laura Jeanne Syvertson is 1295088979 and her current mailing address is 400 Lake St, Ithaca, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295088979.
Healthcare Provider's Profile
| Full Name | Laura Jeanne Syvertson |
|---|
| Gender | Female |
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| Speciality | Social Worker - School |
|---|
| Location | 334 W State St, Ithaca, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295088979
- Provider Enumeration Date: 10/18/2012
- Last Update Date: 12/09/2020
Medical Identifiers
Medical identifiers for Laura Jeanne Syvertson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295088979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 087886 (New York) | Secondary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laura Jeanne Syvertson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Laura Jeanne Syvertson, LCSW
400 Lake St,
Ithaca, NY 14850-2132
Ph: (607) 274-2101 | Laura Jeanne Syvertson, LCSW
334 W State St,
Ithaca, NY 14850-5432
Ph: (607) 273-5500 |
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