Laurie M. Canevali, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12482 Issued in MD

Practice address

1620 Elton Rd
Suite 204
Silver Spring, MD 20903-1740

Phone

(301) 439-7191

Fax

(301) 439-1169

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ephesians Life Ministries, Inc.

  • Community/Behavioral Health Agency
  • Silver Spring, MD
  • NPI 1952418279
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790909356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18203 KITCHEN HOUSE CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742423",
            "telephone_number": "240-671-2734",
            "fax_number": "301-972-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ELTON RD",
            "address_2": "SUITE 204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031740",
            "telephone_number": "301-439-7191",
            "fax_number": "301-439-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANEVALI",
        "first_name": "LAURIE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9403766",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "F1270029",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI UNITED HEALTH",
            "identifier": "2145019",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LV12-647570-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7895759",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica L Canada, DPT
• Angela Renae Canady, M.D.
• Gisselle Y Canales
• Candace Kwakye DDS, LLC
• Candid Home Health Care Services, LLC
• Constance Elena Cannon, PH.D.
• Diamond Kivietta Cannon, BCBA, LBA
• Jane Michel Canter, MD
• Judy Cao
• Eileen M Cape, CRNP

• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, 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 Jul 8, 2007; 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.