NPIMap

Organization Active NPI

Lead4Life, Inc.

  • Social Worker
  • Rockville, MD
National Provider Identifier
1477092393
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
G13132 Issued in MD
Legal business name
LEAD4LIFE, INC.
Practice address
2096 Gaither Rd Ste 110
Rockville, MD 20850-4027
Phone
(301) 672-4319
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Ms. Jennifer Gauthier, LGSWNPI 1912142753
Title
Ceo/Executive Director
Phone
(301) 672-4319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X G13132 MD Primary

Addresses

Primary practice location

2096 Gaither Rd Ste 110
Rockville, MD 20850-4027

Mailing address

PO Box 306
Olney, MD 20830-0306
Phone (301) 672-4319

Other practice location 1

15825 Shady Grove Rd Ste 35
Rockville, MD 20850-4033
Phone (301) 672-4319

Other identifiers 1

IdentifierTypeStateIssuer
201507200MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Rockville

National Provider Directory

National Provider Directory
Tax ID family
Lead4Life Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1477092393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208300306",
            "telephone_number": "301-672-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2096 GAITHER RD STE 110",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504027",
            "telephone_number": "301-672-4319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15825 Shady Grove Rd Ste 35",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208504033",
            "country_code": "US",
            "telephone_number": "301-672-4319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEAD4LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-672-4319",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LGSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MD",
            "license": "G13132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201507200",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rockville",
            "affiliation": "N",
            "address_1": "2096 Gaither Rd Ste 110",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208504027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.