Active NPI
Therese Harrigan, MSW
- Clinical Social Worker
- Upper Marlboro, MD
National Provider Identifier
1043469737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06811
- Practice address
- 14735 Main St
Upper Marlboro, MD 20772-3051 - Phone
- (301) 985-5960
- Fax
- (301) 699-2886
- NPI assigned
- Sep 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 06811 | MD | Primary |
Addresses
Primary practice location
14735 Main St
Upper Marlboro, MD 20772-3051
Mailing address
14735 Main St
Upper Marlboro, MD 20772-3051
Phone (301) 985-5960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06811 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1043469737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14735 MAIN ST",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723051",
"telephone_number": "301-985-5960",
"fax_number": "301-699-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14735 MAIN ST",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723051",
"telephone_number": "301-985-5960",
"fax_number": "301-699-2886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIGAN",
"first_name": "THERESE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "06811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.