Active NPI
Laquasha M Lyles, LMSW
- Social Worker
- Baltimore, MD
National Provider Identifier
1871185561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 25312
- Practice address
- 4654 York Rd Ste a
Baltimore, MD 21212-4726 - Phone
- (443) 762-4887
- NPI assigned
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 25312 | MD | Primary |
Addresses
Primary practice location
4654 York Rd Ste a
Baltimore, MD 21212-4726
Mailing address
9722 Groffs Mill Dr Ste 955
Owings Mills, MD 21117-6341
Phone (443) 762-4887
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 |
|---|---|---|---|
| 25312 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1871185561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9722 GROFFS MILL DR STE 955",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211176341",
"telephone_number": "443-762-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4654 YORK RD STE A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212124726",
"telephone_number": "443-762-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLES",
"first_name": "LAQUASHA",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "25312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.