Individual provider Active NPI

Olivia Laguerre, LMSW

  • Social Worker
  • Gaithersburg, MD
National Provider Identifier
1679180871
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
23533 Issued in MD
Practice address
18336 Streamside Dr Apt 102
Gaithersburg, MD 20879-5235
Phone
(240) 527-9480
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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 23533 MD Primary

Addresses

Primary practice location

18336 Streamside Dr Apt 102
Gaithersburg, MD 20879-5235

Mailing address

18336 Streamside Dr Apt 102
Gaithersburg, MD 20879-5235
Phone (240) 527-9480

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

State licenses

LicenseStateTypeSpecialty
23533MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1679180871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18336 STREAMSIDE DR APT 102",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795235",
            "telephone_number": "240-527-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18336 STREAMSIDE DR APT 102",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795235",
            "telephone_number": "240-527-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGUERRE",
        "first_name": "OLIVIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.