Jacqueline Koubek Lanier, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

07375 Issued in MD

Practice address

1419 Forest Dr Ste 104
Annapolis, MD 21403-1453

Phone

(410) 562-8177

NPI assigned

Aug 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1326470717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURNHAM WOOD CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031644",
            "telephone_number": "410-562-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 FOREST DR STE 104",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031453",
            "telephone_number": "410-562-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "JACQUELINE",
        "middle_name": "KOUBEK",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Denise Langford, MA, CCC-SLP
• Julie Mikhail Langguth, DMD, MS
• Tammy Langley-Prout, PSY.D.
• Kennedi Lango
• Monique Yvette Langston, D.O.
• Thomas B. Lank, M.D.
• Deborah Ruth Lantz, MS
• Emma Louise Lanuti, M.D.
• John Anthony Lapczynski, D.O.
• Michael James Lapenta, MD

• Clinical Social Worker in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.