Active NPI
Heike Lasoski
- Clinical Social Worker
- Waldorf, MD
National Provider Identifier
1326570680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18073
- Practice address
- 173 St. Patrick's Dr.
Ste 104 PMB 1011
Waldorf, MD 20603 - Phone
- (240) 925-9000
- Fax
- (301) 475-5817
- NPI assigned
- Mar 28, 2017
- Last updated
- Aug 5, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18073 | MD | Primary |
Addresses
Primary practice location
173 St. Patrick's Dr.
Ste 104 PMB 1011
Waldorf, MD 20603
Mailing address
173 St. Patrick's Dr.
Ste 104 PMB 1011
Waldorf, MD 20603
Phone (240) 925-9000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18073 | MD | MD | Clinical Social Worker |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waldorf, MD
- NPI 1609360445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1326570680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 ST. PATRICK'S DR.",
"address_2": "STE 104 PMB 1011",
"city": "WALDORF",
"state": "MD",
"postal_code": "20603",
"telephone_number": "240-925-9000",
"fax_number": "301-475-5817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 ST. PATRICK'S DR.",
"address_2": "STE 104 PMB 1011",
"city": "WALDORF",
"state": "MD",
"postal_code": "20603",
"telephone_number": "240-925-9000",
"fax_number": "301-475-5817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASOSKI",
"first_name": "HEIKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "18073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.