Ellietta Madrigal Lazaro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010569 Issued in VA

Practice address

2001 Mill Rd
Alexandria, VA 22314-5355

Phone

(703) 746-3599

Fax

(703) 684-2072

NPI assigned

Jul 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1578049268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LEIGHTON AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014846",
            "telephone_number": "301-787-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MILL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145355",
            "telephone_number": "703-746-3599",
            "fax_number": "703-684-2072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4850 Mark Center Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223111882",
            "country_code": "US",
            "telephone_number": "703-746-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZARO",
        "first_name": "ELLIETTA",
        "middle_name": "MADRIGAL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447279658",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lawrence
• Kristine Lawrence, M.S. ED
• Amanda Nicole Lawton, A.G.P.C.N.P.-BC
• Erika Marie Lawyer, MS, OTR/L
• Karin Layne, QMHP, CASAC-S
• Michelle My Le, O.D.
• Nathan Qui-Ngan Le, D.C
• Nhi Y Le I
• Tuan Nha Le, DMD
• Learning Littles PLLC

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.