Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laurie K Halversen, LCSW

Individual provider Clinical Social Worker · NPI 1356649545

Laurie K Halversen, LCSW is a Clinical Social Worker in Clearlake, California. Qualified in 2005, 21 years ago. Practices with Adventist Health Clearlake Hospital Inc, a 86-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

15630 18th Ave
Clearlake, CA 95422-9336
Phone: (707) 994-6486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 26339 (CA)

Record details

NPI number1356649545
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 11, 2011
Last updated in NPPESMarch 11, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Adventist Health Clearlake Hospital Inc. — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clearlake