Organization Active NPI

The Therapeautic Journey LLC

  • Clinical Social Worker
  • Adelphi, MD
National Provider Identifier
1023446523
Registry record updated Nov 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19257 Issued in MD
Legal business name
THE THERAPEAUTIC JOURNEY LLC
Practice address
2517 Hughes Rd
Adelphi, MD 20783-1538
Phone
(240) 472-4689
NPI assigned
Oct 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2013

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

Authorized official

Name
Ms. Karen B Shennette, LCSW-C
Title
Clinical Social Worker
Phone
(240) 472-4689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 19257 MD Primary

Addresses

Primary practice location

2517 Hughes Rd
Adelphi, MD 20783-1538

Mailing address

PO Box 5253
Takoma Park, MD 20913-5253
Phone (240) 472-4689

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385251200000",
    "number": "1023446523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5253",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209135253",
            "telephone_number": "240-472-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 HUGHES RD",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831538",
            "telephone_number": "240-472-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPEAUTIC JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-11-24",
        "status": "A",
        "authorized_official_last_name": "SHENNETTE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "240-472-4689",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelphi, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.