Laurence Neil Letich, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15014 Issued in MD

Practice address

5 Hillcrest Dr Ste B202
Frederick, MD 21703-6269

Phone

(240) 315-8100

Fax

(301) 865-4559

NPI assigned

Nov 30, 2009

Sex

Male

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

Other names 1

• Larry Letich Other name

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578891644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HILLCREST DR STE A202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036270",
            "telephone_number": "240-315-8100",
            "fax_number": "240-377-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HILLCREST DR STE B202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036269",
            "telephone_number": "240-315-8100",
            "fax_number": "301-865-4559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6260 Montrose Rd",
            "address_purpose": "LOCATION",
            "city": "N Bethesda",
            "state": "MD",
            "postal_code": "208524119",
            "country_code": "US",
            "telephone_number": "240-315-8100",
            "fax_number": "240-377-0302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETICH",
        "first_name": "LAURENCE",
        "middle_name": "NEIL",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH UNIVERSAL PROVIDER NUMBER",
            "identifier": "12016403",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARRY",
            "last_name": "LETICH",
            "credential": "LCSW-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leota Lifestar LLC
• Michael A Lerner, M.D.
• Richard T Leschek, D.O.
• Callie Lesher, APRN,AGNP-C
• Wendy L Lethbridge, CST/CFA
• Joanna Marie Letke, RN
• Amy R Lettman, R.D.
• David Julius Levine, D.P.M.
• Matthew J Levine, M.D.
• Anne Stewart Levitsky, LCPC

• Clinical Social Worker in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.