Active NPI
Laura G. Clement, LCSW, LCSW-C, LICSW
- Clinical Social Worker
- MC Lean, VA
National Provider Identifier
1821317850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007711
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| LC50079108 | DC | MD | Clinical Social Worker |
| 0904007711 | VA | MD | Clinical Social Worker |
| 17180 | MD | MD | Pharmacist |
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.