National Provider Identifier
Laura Jeanne Syvertson, LCSW
Laura Jeanne Syvertson, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 220-7319.
Profile Overview
- NPI
- 1295088979
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 18, 2012
- Last Updated
- October 03, 2025
Practice Location
- 319 N Tioga
- Ithaca, NY 14850
Phone: (607) 220-7319
Mailing Address
- 409 Elm St
- Ithaca, NY 14850
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1295088979
- Entity Type
- Individual
- Last Name
- Syvertson
- First Name
- Laura
- Middle Name
- Jeanne
- Credential
- LCSW
- Mailing Street Address
- 409 Elm St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Practice Street Address
- 319 N Tioga
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 220-7319
- Enumeration Date
- October 18, 2012
- Last Updated
- October 03, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 03, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)