Individual provider Active NPI

Leticia Maria Gorni Manoel, LGSW

  • Social Worker
  • Rockville, MD
National Provider Identifier
1619105574
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14041 Issued in MD
Practice address
5708 Chapman Mill Dr Apt 160
Rockville, MD 20852-5569
Phone
(202) 247-8207
NPI assigned
Jun 30, 2009
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 14041 MD Primary

Addresses

Primary practice location

5708 Chapman Mill Dr Apt 160
Rockville, MD 20852-5569

Mailing address

5708 Chapman Mill Dr Apt 160
Rockville, MD 20852-5569
Phone (120) 224-7820

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1619105574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 CHAPMAN MILL DR APT 160",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208525569",
            "telephone_number": "120-224-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 CHAPMAN MILL DR APT 160",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208525569",
            "telephone_number": "202-247-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOEL",
        "first_name": "LETICIA MARIA",
        "middle_name": "GORNI",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "14041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.