Active NPI
Seton Medical Group, Inc
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1003696279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SETON MEDICAL GROUP, INC
- Practice address
- 6740 Alexander Bell Dr Ste 300
Columbia, MD 21046-2248 - Phone
- (410) 564-0000
- Fax
- (410) 564-0032
- NPI assigned
- Oct 4, 2023
- Organization subpart
- Yes
- Parent organization
- ASCENSION HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph William Cook, MD
- Title
- President
- Phone
- (667) 234-2100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6740 Alexander Bell Dr Ste 300
Columbia, MD 21046-2248
Mailing address
6740 Alexander Bell Dr Ste 300
Columbia, MD 21046-2248
Phone (410) 564-0000
Other names 1
- AMG Mental Health Columbia
National Provider Directory
National Provider Directory- Tax ID family
- Ascension Saint Agnes OBGYN Columbia
- Part of
- Ascension Health
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Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGHHAA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1003696279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6740 ALEXANDER BELL DR STE 300",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462248",
"telephone_number": "410-564-0000",
"fax_number": "410-564-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6740 ALEXANDER BELL DR STE 300",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462248",
"telephone_number": "410-564-0000",
"fax_number": "410-564-0032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SETON MEDICAL GROUP, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASCENSION HEALTH",
"enumeration_date": "2023-10-04",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "667-234-2100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AMG Mental Health Columbia",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.