Active NPI
Laura Kijewski, BSW, LSWA
- Social Worker
- Waldorf, MD
National Provider Identifier
1598801490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- A04832
- Practice address
- 2670 Crain Hwy
Suite 402
Waldorf, MD 20601-2806 - Phone
- (301) 396-4105
- Fax
- (301) 396-5733
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | A04832 | MD | Primary |
Addresses
Primary practice location
2670 Crain Hwy
Suite 402
Waldorf, MD 20601-2806
Mailing address
955 Lubbock LN
Lusby, MD 20657-3653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A04832 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598801490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 LUBBOCK LN",
"city": "LUSBY",
"state": "MD",
"postal_code": "206573653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 CRAIN HWY",
"address_2": "SUITE 402",
"city": "WALDORF",
"state": "MD",
"postal_code": "206012806",
"telephone_number": "301-396-4105",
"fax_number": "301-396-5733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIJEWSKI",
"first_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "BSW, LSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "A04832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.