Active NPI
Alexandrea Nicole Rich, MARS, MSW, LGSW
- Social Worker
- Laurel, MD
National Provider Identifier
1255757449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LG50080510
- Practice address
- 3450 Laurel Fort Meade Rd
Suite 105
Laurel, MD 20724-2040 - Phone
- (301) 490-3825
- NPI assigned
- Mar 12, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LG50080510 | MD | Primary |
| Social Worker | 104100000X | 19406 | DC |
Addresses
Primary practice location
3450 Laurel Fort Meade Rd
Suite 105
Laurel, MD 20724-2040
Mailing address
3450 Laurel Fort Meade Rd
Suite 105
Laurel, MD 20724-2040
Phone (301) 490-3825
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 |
|---|---|---|---|
| 19406 | DC | MD | Social Worker |
| LG50080510 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheep Gate Christian Counseling Center, LLC | Past | Accepting new patients |
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.
-
- Professional Counselor
- Laurel, MD
- NPI 1982866455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1255757449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 LAUREL FORT MEADE RD",
"address_2": "SUITE 105",
"city": "LAUREL",
"state": "MD",
"postal_code": "207242040",
"telephone_number": "301-490-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 LAUREL FORT MEADE RD",
"address_2": "SUITE 105",
"city": "LAUREL",
"state": "MD",
"postal_code": "207242040",
"telephone_number": "301-490-3825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICH",
"first_name": "ALEXANDREA",
"middle_name": "NICOLE",
"credential": "MARS, MSW, LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-12",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "LG50080510",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "19406",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.