Organization Active NPI

Backyard Garden LLC

  • Clinical Social Worker
  • Arlington, VA
National Provider Identifier
1225950116
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BACKYARD GARDEN LLC
Practice address
4750 21St Rd N Apt 4
Arlington, VA 22207-2230
Phone
(443) 614-1204
NPI assigned
Jul 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Lauren Laque, LCSW-C
Title
Owner/Mental Health Clinician
Phone
(443) 614-1204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4750 21St Rd N Apt 4
Arlington, VA 22207-2230

Mailing address

4750 21St Rd N Apt 4
Arlington, VA 22207-2230
Phone (443) 614-1204

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1225950116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 21ST RD N APT 4",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222072230",
            "telephone_number": "443-614-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 21ST RD N APT 4",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222072230",
            "telephone_number": "443-614-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKYARD GARDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "LAQUE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "443-614-1204",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.