NPIMap

Organization Active NPI

Learning Alternative Ways to Channel Euphoria (L.a.C.E.), LLC

  • Clinical Social Worker
  • Laurel, MD
National Provider Identifier
1508343518
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080636 Issued in DC
Legal business name
LEARNING ALTERNATIVE WAYS TO CHANNEL EUPHORIA (L.A.C.E.), LLC
Practice address
7646 S Arbory LN
Laurel, MD 20707-5535
Phone
(704) 369-4860
NPI assigned
Jul 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Natasha Dominique Carter, LICSW, LCSW-C, LCSW
Title
Licensed Clinical Social Worker
Phone
(704) 369-4860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC50080636 DC Primary

Addresses

Primary practice location

7646 S Arbory LN
Laurel, MD 20707-5535

Mailing address

7646 S Arbory LN
Laurel, MD 20707-5535
Phone (704) 369-4860

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1508343518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7646 S ARBORY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075535",
            "telephone_number": "704-369-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7646 S ARBORY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075535",
            "telephone_number": "704-369-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEARNING ALTERNATIVE WAYS TO CHANNEL EUPHORIA (L.A.C.E.), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "DOMINIQUE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "704-369-4860",
        "authorized_official_credential": "LICSW, LCSW-C, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.