Individual provider Active NPI

Laurie Anne Booth Schmitt, LCSW-C

  • Clinical Social Worker
  • Crownsville, MD
National Provider Identifier
1366745895
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23232 Issued in MD
Practice address
374 Kyle Rd
Crownsville, MD 21032-1843
Phone
(301) 938-3702
NPI assigned
Dec 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 117113 MA
Clinical Social Worker 1041C0700X 23232 MD Primary

Addresses

Primary practice location

374 Kyle Rd
Crownsville, MD 21032-1843

Mailing address

374 Kyle Rd
Crownsville, MD 21032-1843
Phone (301) 938-3702

Other names 1

  • Laurie Anne Booth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180102000799 MD Practitioner - Clinical Social Worker 4385902071 Reassigns benefits to 1 organization
Practice locations: Crownsville, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Health Practices LLCGroup PAC ID 2163798299, 4 clinicians

Practice addresses (Care Compare)

9501 Old Annapolis Rd
Suite 205
Ellicott City, MD 21042-6336
Phone (410) 648-2555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117113MAMDClinical Social Worker
23232MDMDClinical 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1366745895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 KYLE RD",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321843",
            "telephone_number": "301-938-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 KYLE RD",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321843",
            "telephone_number": "301-938-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "LAURIE",
        "middle_name": "ANNE BOOTH",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-05",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117113",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "BOOTH",
            "middle_name": "ANNE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crownsville, MD

Sources for this page

Verify at the official NPI Registry.