Individual provider Active NPI

Nicole D. Gaskin-Laniyan, PHD, LICSW, LCSW-C

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1437275302
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50077734 Issued in DC
Practice address
530 7TH St SE
Washington, DC 20003-2768
Phone
(202) 431-4373
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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 LC50077734 DC Primary
Clinical Social Worker 1041C0700X 11757 MD

Addresses

Primary practice location

530 7TH St SE
Washington, DC 20003-2768

Mailing address

4663 Queens Grove St
White Plains, MD 20695-3481
Phone (202) 431-4373

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LC50077734DCMDClinical Social Worker
11757MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1437275302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4663 QUEENS GROVE ST",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953481",
            "telephone_number": "202-431-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 7TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032768",
            "telephone_number": "202-431-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKIN-LANIYAN",
        "first_name": "NICOLE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PHD, LICSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50077734",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.