Active NPI
Lisa Vilar, LCSW-C
- Clinical Social Worker
- West Friendship, MD
National Provider Identifier
1578944377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20714
- Practice address
- 12800 Frederick Rd Ste 201
West Friendship, MD 21794-9564 - Phone
- (443) 515-8973
- NPI assigned
- Jun 17, 2015
- Last updated
- Mar 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20714 | MD | Primary |
Addresses
Primary practice location
12800 Frederick Rd Ste 201
West Friendship, MD 21794-9564
Mailing address
14134 Rover Mill Rd
West Friendship, MD 21794-9725
Phone (445) 515-8973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20714 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1578944377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14134 ROVER MILL RD",
"city": "WEST FRIENDSHIP",
"state": "MD",
"postal_code": "217949725",
"telephone_number": "445-515-8973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12800 FREDERICK RD STE 201",
"city": "WEST FRIENDSHIP",
"state": "MD",
"postal_code": "217949564",
"telephone_number": "443-515-8973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILAR",
"first_name": "LISA",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "20714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Friendship, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.