LG Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09360 Issued in MD

Legal business name

LG WELLNESS LLC

Practice address

17 Warren Rd
Suite 3a
Baltimore, MD 21208-5334

Phone

(410) 591-7724

Fax

(877) 376-1801

NPI assigned

Jan 11, 2013

Organization subpart

No

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

Authorized official

Name

Laura R Greer, LCSW-CNPI 1891018909

Title

Owner

Phone

(410) 591-7724

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laura Greer LCSW-C Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Greer, LCSW-C

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1891018909
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1659618619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 WALLIS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151709",
            "telephone_number": "410-591-7724",
            "fax_number": "877-376-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WARREN RD",
            "address_2": "SUITE 3A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212085334",
            "telephone_number": "410-591-7724",
            "fax_number": "877-376-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-591-7724",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891018909",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laura Greer LCSW-C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas H Ley, PHD
• Tammy Jo Leydig, RN
• Steven D Leydorf, MD
• Bianca Leyva-Downs
• Francisco Jose Leyva, M.D., PH.D.
• Lgtula,LLC
• LHC House of Refuge
• LHCG Ccxxiv, LLC
• LHCG Lxxxi, LLC
• LHCG Lxxxi, LLC

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.