NPIMap

Individual provider Active NPI

Safi Khadija Lynch, L.C.S.W.-CLINICAL

  • Clinical Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1003034158
Registry record updated Nov 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15843 Issued in MD
Practice address
9701 Apollo Dr
Suite 391
Upper Marlboro, MD 20774-4783
Phone
(301) 583-1181
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2012

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 15843 MD Primary

Addresses

Primary practice location

9701 Apollo Dr
Suite 391
Upper Marlboro, MD 20774-4783

Mailing address

PO Box 244
Cheltenham, MD 20623-0244
Phone (301) 613-6808

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

LicenseStateTypeSpecialty
15843MDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saundra Walker Harris Past Accepting new patients
Tracy Stubblefield LLC Clinical Past Accepting new patients

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353110400000",
    "number": "1003034158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "CHELTENHAM",
            "state": "MD",
            "postal_code": "206230244",
            "telephone_number": "301-613-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR",
            "address_2": "SUITE 391",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744783",
            "telephone_number": "301-583-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "SAFI",
        "middle_name": "KHADIJA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.-CLINICAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2012; 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.