Active NPI
Danica Mottola
- Social Worker
- Leonardtown, MD
National Provider Identifier
1649038936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 30942
- Practice address
- 25482 Point Lookout Rd Ste 201a
Leonardtown, MD 20650-3896 - Phone
- (301) 690-0779
- NPI assigned
- Mar 11, 2024
- 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 | 30942 | MD | Primary |
Addresses
Primary practice location
25482 Point Lookout Rd Ste 201a
Leonardtown, MD 20650-3896
Mailing address
PO Box 2456
Leonardtown, MD 20650-2456
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 |
|---|---|---|---|
| 30942 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1649038936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2456",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25482 POINT LOOKOUT RD STE 201A",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206503896",
"telephone_number": "301-690-0779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTTOLA",
"first_name": "DANICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "30942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.