Individual provider Active NPI

Lorena Ripoll, LCSW-C

  • Social Worker
  • Frederick, MD
National Provider Identifier
1144646050
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
19553 Issued in MD
Practice address
21 Byte CT Ste G
Frederick, MD 21702-8724
Phone
(301) 846-7872
Fax
(301) 846-7973
NPI assigned
Mar 16, 2014
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 19553 MD Primary

Addresses

Primary practice location

21 Byte CT Ste G
Frederick, MD 21702-8724

Mailing address

218 Blanca CT
Frederick, MD 21702-6455
Phone (240) 566-6201

Other practice location 1

188 Thomas Johnson Dr
Suite 201, Unit 2C
Frederick, MD 21702-4505
Phone (301) 846-7872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251110002547 MD Practitioner - Clinical Social Worker 5193101020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Change Therapy Now LLCGroup PAC ID 4284010117, 8 clinicians

Practice addresses (Care Compare)

21 Byte CT
Suite G
Frederick, MD 21702-8724
Phone (301) 846-7872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19553MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Change Therapy Now LLC CurrentSince Nov 12, 2013 Accepting new patients

Locations

188 Thomas Johnson Dr
Ste 201
Frederick, MD 21702
Phone (301) 639-6062

21 Byte Ct
Ste G
Frederick, MD 21702
Phone (301) 846-7872

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1144646050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BLANCA CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217026455",
            "telephone_number": "240-566-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BYTE CT STE G",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028724",
            "telephone_number": "301-846-7872",
            "fax_number": "301-846-7973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 Thomas Johnson Dr",
            "address_2": "Suite 201, Unit 2C",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024505",
            "country_code": "US",
            "telephone_number": "301-846-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIPOLL",
        "first_name": "LORENA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-16",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.