Individual provider Active NPI

Lauren Herron, LCSW-C

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1891097010
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15851 Issued in MD
Practice address
4631 Kings Mill Way
Owings Mills, MD 21117-6186
Phone
(410) 227-9426
Fax
(410) 826-3736
NPI assigned
Nov 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 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 15851 MD Primary

Addresses

Primary practice location

4631 Kings Mill Way
Owings Mills, MD 21117-6186

Mailing address

4631 Kings Mill Way
Owings Mills, MD 21117-6186
Phone (410) 227-9426

Other practice location 1

2901 Druid Park Dr
a202
Baltimore, MD 21215-8102
Phone (410) 225-0062

Other identifiers 1

IdentifierTypeStateIssuer
15851MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hmtsllc@gmail.com

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15851MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness RX Corporation Current Accepting new patients
Wellness RX Corporation Current Accepting new patients

Locations

4538 Edmondson Ave
Baltimore, MD 21229
Phone (410) 328-2273

7310 Ritchie Hwy
Ste 100
Glen Burnie, MD 21061
Phone (410) 499-4126

Organizations & group practices 2

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": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1891097010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 KINGS MILL WAY",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176186",
            "telephone_number": "410-227-9426",
            "fax_number": "410-826-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 KINGS MILL WAY",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176186",
            "telephone_number": "410-227-9426",
            "fax_number": "410-826-3736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Druid Park Dr",
            "address_2": "a202",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212158102",
            "country_code": "US",
            "telephone_number": "410-225-0062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRON",
        "first_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15851",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hmtsllc@gmail.com",
            "affiliation": "N",
            "address_1": "4631 Kings Mill Way",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211176186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.