Organization Active NPI

Love & Legacy Couples Counseling Inc

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1023584463
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LOVE & LEGACY COUPLES COUNSELING INC
Practice address
10632 Little Patuxent Pkwy Ste 340
Columbia, MD 21044-6222
Phone
(443) 968-4488
NPI assigned
Oct 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Susan L Walker, LCSW-CNPI 1437650991
Title
Clinical Social Worker/Therapist
Phone
(443) 968-4488

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 Primary

Addresses

Primary practice location

10632 Little Patuxent Pkwy Ste 340
Columbia, MD 21044-6222

Mailing address

5939 Fairlee Rd
Elkridge, MD 21075-5422
Phone (443) 968-4488

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1023584463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 FAIRLEE RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755422",
            "telephone_number": "443-968-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY STE 340",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446222",
            "telephone_number": "443-968-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE & LEGACY COUPLES COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "443-968-4488",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 23, 2018; 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.