Organization Active NPI

Western Maryland Counseling Center Inc

  • Clinical Social Worker
  • Hagerstown, MD
National Provider Identifier
1003153602
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12984 Issued in MD
Legal business name
WESTERN MARYLAND COUNSELING CENTER INC
Practice address
240 S Potomac St
Suite 204
Hagerstown, MD 21740-6005
Phone
(301) 467-3137
Fax
(240) 986-9504
NPI assigned
Jan 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Mrs. Mende Potkay, LCSW-CNPI 1174642805
Title
Co-Owner
Phone
(301) 467-3137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 12984 MD Primary

Addresses

Primary practice location

240 S Potomac St
Suite 204
Hagerstown, MD 21740-6005

Mailing address

240 S Potomac St
Suite 204
Hagerstown, MD 21740-6005
Phone (301) 467-3137

National Provider Directory

National Provider Directory

Locations

240 S Potomac St
Ste 204
Hagerstown, MD 21740
Phone (240) 257-6830

240 S Potomac St
#204
Hagerstown, MD 21740
Phone (240) 257-6830

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1003153602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S POTOMAC ST",
            "address_2": "SUITE 204",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406005",
            "telephone_number": "301-467-3137",
            "fax_number": "240-986-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S POTOMAC ST",
            "address_2": "SUITE 204",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406005",
            "telephone_number": "301-467-3137",
            "fax_number": "240-986-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MARYLAND COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "POTKAY",
        "authorized_official_first_name": "MENDE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "301-467-3137",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.