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NPI Code Detail

MEDICARE: LAURA CHOUINARD LMSW

MEDICARE: LAURA CHOUINARD LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker119638NY

General Provider Information

NPI Number : 1164106597
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA CHOUINARD LMSW
Provider Business Mailing Address
First Line : 19317 US ROUTE 11
Second Line :
City : WATERTOWN
State : NY
Zip : 13601-5317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 482 BLACK RIVER PKWY
Second Line :
City : WATERTOWN
State : NY
Zip : 13601-2416
Country : US
Telephone Number : 315-782-1777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2023
Last Update Date : 04/15/2026

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Directions to “ LAURA CHOUINARD LMSW” Practice Location

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