Organization Active NPI

Keep Exploring Yourself, LLC

  • Clinical Social Worker
  • Hagerstown, MD
National Provider Identifier
1023583234
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KEEP EXPLORING YOURSELF, LLC
Practice address
22 N Mulberry St
Hagerstown, MD 21740-4870
Phone
(410) 624-6452
NPI assigned
Oct 4, 2018
Last updated
Sep 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Danielle Hudak, LCSWC
Title
Owner
Phone
(240) 329-1512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

22 N Mulberry St
Hagerstown, MD 21740-4870

Mailing address

22 N Mulberry St Ste 120
Hagerstown, MD 21740-4870
Phone (240) 329-1512

National Provider Directory

National Provider Directory

Locations

22 N Mulberry St
Hagerstown, MD 21740
Phone (301) 755-5463

22 N Mulberry St
Ste 205
Hagerstown, MD 21740
Phone (410) 624-6452

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1023583234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N MULBERRY ST STE 120",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404870",
            "telephone_number": "240-329-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N MULBERRY ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404870",
            "telephone_number": "410-624-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEP EXPLORING YOURSELF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "HUDAK",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-329-1512",
        "authorized_official_credential": "LCSWC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "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 Sep 22, 2020; 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.