Active NPI
Lakeisha Wilson, MS, LMSW
- Social Worker
- Silver Spring, MD
National Provider Identifier
1609580711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- G12901
- Practice address
- 1028 Mondrian Ter
Silver Spring, MD 20904-3269 - Phone
- (301) 237-9661
- NPI assigned
- Jan 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | G12901 | MD | Primary |
Addresses
Primary practice location
1028 Mondrian Ter
Silver Spring, MD 20904-3269
Mailing address
1028 Mondrian Ter
Silver Spring, MD 20904-3269
Phone (301) 237-9661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G12901 | Other | MD | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://secure.gethealthie.com/ | Health Information Exchange (HIE) |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G12901 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609580711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 MONDRIAN TER",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209043269",
"telephone_number": "301-237-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 MONDRIAN TER",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209043269",
"telephone_number": "301-237-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LAKEISHA",
"credential": "MS, LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-12",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "G12901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "G12901",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://secure.gethealthie.com/",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1028 Mondrian Ter",
"city": "Silver Spring",
"state": "MD",
"country_code": "US",
"postal_code": "209043269",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.