Individual provider Active NPI

Lauren Zolluccio, LCSW-C

  • Clinical Social Worker
  • Lutherville Timonium, MD
National Provider Identifier
1619372976
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26285 Issued in MD
Practice address
30 E Padonia Rd Ste 202
Lutherville Timonium, MD 21093-2308
Phone
(443) 367-1333
NPI assigned
Oct 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26285 MD
Clinical Social Worker 1041C0700X 26285 MD Primary

Addresses

Primary practice location

30 E Padonia Rd Ste 202
Lutherville Timonium, MD 21093-2308

Mailing address

204 Saint Charles Way Unit E, Box 372
York, PA 17402-4646
Phone (443) 367-1333

Other practice location 1

101 W Ridgely Rd Ste 8A
Lutherville, MD 21093-5124
Phone (443) 367-1333

Other practice location 2

815 Ritchie Hwy Ste 205
Severna Park, MD 21146-4164
Phone (443) 367-1333

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

LicenseStateTypeSpecialty
26285MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Health Wellness Group LLC Social Worker CurrentSince Oct 20, 2024 Accepting new patients

Locations

815 Ritchie Hwy
Ste 205
Severna Park, MD 21146
Phone (443) 261-5376

101 W Ridgely Rd
Ste 8A
Timonium, MD 21093
Phone (443) 367-1333

30 E Padonia Rd
Ste 202
Timonium, MD 21093
Phone (410) 525-5333

204 Saint Charles Way
Unit E
York, PA 17402

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1619372976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SAINT CHARLES WAY UNIT E, BOX 372",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024646",
            "telephone_number": "443-367-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E PADONIA RD STE 202",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932308",
            "telephone_number": "443-367-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Ridgely Rd Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210935124",
            "country_code": "US",
            "telephone_number": "443-367-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Ritchie Hwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211464164",
            "country_code": "US",
            "telephone_number": "443-367-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLLUCCIO",
        "first_name": "LAUREN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "26285",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; 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.