Active NPI
Lauren A Reider, LCSW-C
- Clinical Social Worker
- Severna Park, MD
National Provider Identifier
1720618044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19999
- Practice address
- 770 Ritchie Hwy Ste W16
Severna Park, MD 21146-4158 - Phone
- (410) 294-0152
- NPI assigned
- Jan 26, 2020
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19999 | MD | Primary |
Addresses
Primary practice location
770 Ritchie Hwy Ste W16
Severna Park, MD 21146-4158
Mailing address
137 Calhoun St
Edgewater, MD 21037-1634
Phone (443) 852-6578
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 |
|---|---|---|---|
| 19999 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579996800000",
"number": "1720618044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 CALHOUN ST",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210371634",
"telephone_number": "443-852-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 RITCHIE HWY STE W16",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211464158",
"telephone_number": "410-294-0152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIDER",
"first_name": "LAUREN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-26",
"last_updated": "2020-01-26",
"certification_date": "2020-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "19999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.