Individual provider Active NPI

Lora Speake, LCSW-C

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1255739736
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
19466 Issued in MD
Practice address
4502 Schenley Rd # 100a
Baltimore, MD 21210-2524
Phone
(433) 308-3032
NPI assigned
Dec 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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 19466 MD Primary

Addresses

Primary practice location

4502 Schenley Rd # 100a
Baltimore, MD 21210-2524

Mailing address

4502 Schenley Rd # 100a
Baltimore, MD 21210-2524
Phone (433) 308-3032

Other practice location 1

1012 North Point Rd
Baltimore, MD 21224-3338
Phone (443) 216-4800

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
19466MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lola'S Village, LLC Current Accepting new patients
Ivywood Counseling Services Current Accepting new patients
Clear Sky Therapy Services, LLC Past Accepting new patients

Locations

4502 Schenley Rd
#100A
Baltimore, MD 21210
Phone (443) 308-3032

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1255739736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 SCHENLEY RD # 100A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102524",
            "telephone_number": "433-308-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 SCHENLEY RD # 100A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102524",
            "telephone_number": "433-308-3032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 North Point Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212243338",
            "country_code": "US",
            "telephone_number": "443-216-4800",
            "fax_number": "443-216-4801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEAKE",
        "first_name": "LORA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.