Active NPI
Laurie Blackman, LMSW, LGSW
- Social Worker
- Silver Spring, MD
National Provider Identifier
1336868413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 16431
- Practice address
- 10769 Lester St
Silver Spring, MD 20902-3760 - Phone
- (202) 641-1129
- NPI assigned
- Aug 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | LG50080171 | DC | |
| Social Worker | 104100000X | 16431 | MD | Primary |
Addresses
Primary practice location
10769 Lester St
Silver Spring, MD 20902-3760
Mailing address
10769 Lester St
Silver Spring, MD 20902-3760
Phone (202) 641-1129
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 |
|---|---|---|---|
| LG50080171 | DC | MD | Social Worker |
| 16431 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1336868413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10769 LESTER ST",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209023760",
"telephone_number": "202-641-1129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10769 LESTER ST",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209023760",
"telephone_number": "202-641-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMAN",
"first_name": "LAURIE",
"credential": "LMSW, LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG50080171",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "16431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.