Individual provider Active NPI

Lauren Pietrasko

  • Speech-Language Pathologist
  • Owings Mills, MD
National Provider Identifier
1215714365
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10858 Issued in MD
Practice address
7 Gwynns Mill CT Ste I
Owings Mills, MD 21117-3528
Phone
(410) 849-9496
NPI assigned
Sep 12, 2023
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10858 MD Primary

Addresses

Primary practice location

7 Gwynns Mill CT Ste I
Owings Mills, MD 21117-3528

Mailing address

8120 Meadowgate Cir
Glen Burnie, MD 21060-8484

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

LicenseStateTypeSpecialty
10858MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Charm City Therapy CurrentSince Dec 24, 2023 Accepting new patients

Locations

7 Gwynns Mill Ct
Ste I
Owings Mills, MD 21117
Phone (410) 443-7021

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1215714365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 MEADOWGATE CIR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GWYNNS MILL CT STE I",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173528",
            "telephone_number": "410-849-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRASKO",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.