Active NPI
Lara Gregorio, LCSW, LGSW
- Clinical Social Worker
- Rockville, MD
National Provider Identifier
1811069826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18576
- Practice address
- 5880 Hubbard Dr
Rockville, MD 20852-4821 - Phone
- (301) 375-0511
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18576 | MD | Primary |
| Clinical Social Worker | 1041C0700X | 24754 | CA |
Addresses
Primary practice location
5880 Hubbard Dr
Rockville, MD 20852-4821
Mailing address
5880 Hubbard Dr
Rockville, MD 20852-4821
Phone (301) 375-0511
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 |
|---|---|---|---|
| 24754 | CA | MD | Clinical Social Worker |
| 18576 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1811069826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5880 HUBBARD DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524821",
"telephone_number": "301-375-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5880 HUBBARD DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524821",
"telephone_number": "301-375-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORIO",
"first_name": "LARA",
"credential": "LCSW, LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "18576",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "24754",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.