Individual provider Active NPI

Lakeiya Cherry, MSW, LICSW, LCSW-C

  • Clinical Social Worker
  • Laurel, MD
National Provider Identifier
1659618353
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18165 Issued in MD
Practice address
3575 Fort Meade Rd Apt 501
Laurel, MD 20724-2039
Phone
(301) 221-9125
NPI assigned
Jan 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50079358 DC
School Social Worker 1041S0200X LC50079358 DC
Clinical Social Worker 1041C0700X 18165 MD Primary

Addresses

Primary practice location

3575 Fort Meade Rd Apt 501
Laurel, MD 20724-2039

Mailing address

3575 Fort Meade Rd Apt 501
Laurel, MD 20724-2039
Phone (301) 221-9125

Other practice location 1

1200 1st St NE
9th Floor
Washington, DC 20002-3361
Phone (202) 724-7658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18165MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Medical of Ca PC Past Accepting new patients
Shine Medical PC Past Accepting new patients
Uplift Behavioral Health PC Clinical Past Accepting new patients

Organizations & group practices 3

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": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659618353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 FORT MEADE RD APT 501",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242039",
            "telephone_number": "301-221-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 FORT MEADE RD APT 501",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242039",
            "telephone_number": "301-221-9125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 1st St NE",
            "address_2": "9th Floor",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200023361",
            "country_code": "US",
            "telephone_number": "202-724-7658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "LAKEIYA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079358",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "DC",
            "license": "LC50079358",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.