LEAD4LIFE, INC. (NPI# 1477092393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477092393 |
| Entity Type | Organization |
| Organization Name | LEAD4LIFE, INC. |
| Practice Address |
2096 Gaither Rd Ste 110 Rockville MD 20850-4027 |
| Mailing Address |
Po Box 306 Olney MD 20830-0306 |
| Practice Telephone | 3016724319 |
| Mailing Telephone | 3016724319 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | MS. JENNIFER GAUTHIER (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3016724319 |
| Authorized Official Credential | LGSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | G13132 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 201507200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15825 Shady Grove Rd Ste 35, Rockville, MD 208504033 | 3016724319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423359 | Lead4life, Inc. | Community/Behavioral Health | 145 W Ostend St Fl 6, Baltimore, MD 21230-3764 | 2019-08-19 |
| 1043745136 | Lead4life, Inc. | Counselor | 225 N Division St, Salisbury, MD 21801-4203 | 2017-04-26 |
| 1326695073 | Lead4life, Inc. | Community/Behavioral Health | 176 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4535 | 2019-08-19 |
| 1659850360 | Lead4life, Inc. | Psychiatry & Neurology | 15825 Shady Grove Rd Ste 35, Rockville, MD 20850-4033 | 2018-08-13 |
| 1518331610 | Lead4life, Inc. | Voluntary or Charitable | 2096 Gaither Rd Ste 110, Rockville, MD 20850-4027 | 2015-11-30 |
| Street Address |
2096 GAITHER RD STE 110 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336532894 | Lead 4 Life, Inc. | Community/Behavioral Health | 2096 Gaither Rd Ste 110, Rockville, MD 20850 | 2015-03-09 |
| 1518331610 | Lead4life, Inc. | Voluntary or Charitable | 2096 Gaither Rd Ste 110, Rockville, MD 20850-4027 | 2015-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894054 | Leslie Madahi Lopez | Social Worker | 1932 Lewis Ave, Rockville, MD 20851-2222 | 2020-09-03 |
| 1811513302 | Monique Campbell | Social Worker | 230 N Washington St Ste 20b, Rockville, MD 20850-1715 | 2020-06-19 |
| 1477191443 | Amy E. Goldfrank | Social Worker | 230 N Washington St Ste 402, Rockville, MD 20850-1780 | 2019-12-20 |
| 1164988150 | Brittany Goff | Social Worker | 15245 Shady Grove Rd Ste 315, Rockville, MD 20850-6208 | 2019-02-14 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1730606682 | Laurie Weitzman | Social Worker | 12301 Academy Way Ste 270, Rockville, MD 20852-2000 | 2017-08-22 |
| 1952783870 | David Ross | Social Worker | 1301 Piccard Drive, Montgomery County Crisis Center, Rockville, MD 20850 | 2015-06-27 |
| 1689099541 | Verena Murphy | Social Worker | 714 Garden View Way, Rockville, MD 20850-6601 | 2014-02-28 |
| 1649572769 | Barbara Ann Flores | Social Worker | 2101 E Jefferson St # 2-west, Rockville, MD 20852-4908 | 2010-11-22 |
| 1972754554 | Eva Marie Shinka | Social Worker | 4409 Bel Pre Rd, Rockville, MD 20853-2031 | 2008-10-01 |
| Find all providers in ROCKVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.