Active NPI
Leah Marie-Kathleen Derr, LGSW
- Social Worker
- Frederick, MD
National Provider Identifier
1043727258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 23474
- Practice address
- 226 S Jefferson St
Frederick, MD 21701-6205 - Phone
- (301) 663-6135
- NPI assigned
- Jan 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 23474 | MD | Primary |
Addresses
Primary practice location
226 S Jefferson St
Frederick, MD 21701-6205
Mailing address
12 Wenner Dr
Brunswick, MD 21716-1246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23474 | MD | MD | Social Worker |
Interoperability endpoints
- leah.derr@489656322949124.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1043727258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 WENNER DR",
"city": "BRUNSWICK",
"state": "MD",
"postal_code": "217161246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 S JEFFERSON ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016205",
"telephone_number": "301-663-6135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERR",
"first_name": "LEAH",
"middle_name": "MARIE-KATHLEEN",
"name_prefix": "Ms.",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "23474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.