Individual provider Active NPI

Lyndsay J Larocca, LCSW-C

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1831828995
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26983 Issued in MD
Practice address
1406 Crain Hwy S Ste 104
Glen Burnie, MD 21061-4086
Phone
(410) 766-6624
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 26983 MD Primary

Addresses

Primary practice location

1406 Crain Hwy S Ste 104
Glen Burnie, MD 21061-4086

Mailing address

813 Dunfer Hill Rd
Severna Park, MD 21146-2859
Phone (617) 872-9072

Other practice location 1

813 Dunfer Hill Rd
Severna Park, MD 21146-2859
Phone (617) 872-9072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203001723 DC Practitioner - Clinical Social Worker 6406228212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uplift Behavioral Health PCGroup PAC ID 4688057086, 16 clinicians

Practice addresses (Care Compare)

4701 Sangamore Rd
Suite N100
Bethesda, MD 20816-2558
Phone (888) 380-2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26983MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Pathways Counseling Partners CurrentSince Jul 17, 2022 Accepting new patients
Uplift Behavioral Health PC Clinical CurrentSince Jan 20, 2023 Accepting new patients
Uplift Health Technologies, Inc. CurrentSince Jan 19, 2025 Accepting new patients

Locations

1050 30th St NW
Washington, DC 20007
Phone (202) 410-5972

4701 Sangamore Rd
Ste N100
Bethesda, MD 20816
Phone (240) 484-4226

4800 Hampden Ln
Ste 200
Bethesda, MD 20814
Phone (240) 326-2857

85 5th Ave
Fl 8
New York, NY 10003
Phone (212) 993-7809

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1831828995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 DUNFER HILL RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462859",
            "telephone_number": "617-872-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CRAIN HWY S STE 104",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614086",
            "telephone_number": "410-766-6624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 Dunfer Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211462859",
            "country_code": "US",
            "telephone_number": "617-872-9072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAROCCA",
        "first_name": "LYNDSAY",
        "middle_name": "J",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.