Individual provider Active NPI

Laurie Weitzman, LCSW-C

  • Social Worker
  • Rockville, MD
National Provider Identifier
1730606682
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
20834 Issued in MD
Practice address
12301 Academy Way Ste 270
Rockville, MD 20852-2000
Phone
(301) 984-4444
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 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 20834 MD Primary

Addresses

Primary practice location

12301 Academy Way Ste 270
Rockville, MD 20852-2000

Mailing address

121 Lazy Hollow Dr
Gaithersburg, MD 20878-2764
Phone (240) 444-7220

Other practice location 1

60 Market St Ste 213
Gaithersburg, MD 20878-6559
Phone (240) 444-7220

Other names 1

  • Laurie Berson Weitzman Other name

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

LicenseStateTypeSpecialty
20834MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1730606682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LAZY HOLLOW DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782764",
            "telephone_number": "240-444-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 ACADEMY WAY STE 270",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522000",
            "telephone_number": "301-984-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Market St Ste 213",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208786559",
            "country_code": "US",
            "telephone_number": "240-444-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEITZMAN",
        "first_name": "LAURIE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "20834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "WEITZMAN",
            "middle_name": "BERSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.