LAURIE K HALVERSEN LCSW
NPI 1356649545
Social Worker - Clinical in Clearlake, CA

Q: What is Laurie Halversen's NPI number?

The NPI number for Laurie Halversen is 1356649545. It was assigned to this individual provider in the NPPES registry on March 11, 2011.

Q: What is Laurie Halversen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Laurie Halversen was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 11, 2011PECOS EnrolledAccepts Medicare Assignment

15630 18TH AVE, CLEARLAKE, CA 95422(707) 994-6486 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Laurie K Halversen Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURIE K HALVERSEN LCSW (NPI 1356649545) is an individual clinical provider in Clearlake, California, licensed in California (LCS 26339) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1356649545

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLAURIE K HALVERSENCredential: LCSW

Location Address15630 18TH AVEClearlake, CA 95422-9336

Mailing Address15630 18th AveClearlake, CA 95422-9336 · (707) 994-6486

Phone(707) 994-6486

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateMarch 11, 2011

✔ NPI 1356649545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · LCS 26339

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

15630 18TH AVE, Clearlake, CA 95422

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laurie K Halversen Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234578840

PECOS Enrollment IDI20240416001476

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.87 – $176.60

Typical copayment $0.00 (range $14.71 – $44.15)

Most-billed visit code NA

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KONOCTI EMERGENCY PHYSICIANS

Emergency Medicine