Individual provider Active NPI

Laura Willard, LCSW-C

  • Clinical Social Worker
  • Kensington, MD
National Provider Identifier
1265747802
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15816 Issued in MD
Practice address
3720 Farragut Ave Ste 301
Kensington, MD 20895-2110
Phone
(240) 621-2874
NPI assigned
Aug 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15816 MD Primary

Addresses

Primary practice location

3720 Farragut Ave Ste 301
Kensington, MD 20895-2110

Mailing address

10102 Meredith Ave
Silver Spring, MD 20910-1058
Phone (240) 498-8922

Other practice location 1

1000 Twinbrook Pkwy
Rockville, MD 20851-1201
Phone (240) 869-6548

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
15816MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1265747802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10102 MEREDITH AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101058",
            "telephone_number": "240-498-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 FARRAGUT AVE STE 301",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952110",
            "telephone_number": "240-621-2874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Twinbrook Pkwy",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208511201",
            "country_code": "US",
            "telephone_number": "240-869-6548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "LAURA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.