Individual provider Active NPI

Laura G. Clement, LCSW, LCSW-C, LICSW

  • Clinical Social Worker
  • MC Lean, VA
National Provider Identifier
1821317850
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007711 Issued in VA
Practice address
1495 Chain Bridge Rd
Weaver and Associates, PLLC, Ste 300
MC Lean, VA 22101-5727
Phone
(202) 577-6836
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904007711 VA Primary
Clinical Social Worker 1041C0700X 17180 MD
Clinical Social Worker 1041C0700X LC50079108 DC

Addresses

Primary practice location

1495 Chain Bridge Rd
Weaver and Associates, PLLC, Ste 300
MC Lean, VA 22101-5727

Mailing address

4740 Connecticut Ave NW
Apt. 504
Washington, DC 20008-5628
Phone (757) 876-0643

Other names 1

  • Laura E. Gilmour Former 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
LC50079108DCMDClinical Social Worker
0904007711VAMDClinical Social Worker
17180MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1821317850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 CONNECTICUT AVE NW",
            "address_2": "APT. 504",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085628",
            "telephone_number": "757-876-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 CHAIN BRIDGE RD",
            "address_2": "WEAVER AND ASSOCIATES, PLLC, STE 300",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015727",
            "telephone_number": "202-577-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "LAURA",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCSW-C, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007711",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17180",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GILMOUR",
            "middle_name": "E.",
            "credential": "LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.