NPIMap

Organization Active NPI

The Family Garden LLC

  • Clinical Social Worker
  • Clarksville, MD
National Provider Identifier
1053748996
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09947 Issued in MD
Legal business name
THE FAMILY GARDEN LLC
Practice address
6528 Ballymore LN
Clarksville, MD 21029-1292
Phone
(443) 212-8125
NPI assigned
Oct 10, 2013
Last updated
Oct 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Becky M Fischbein, LCSW-CNPI 1992904965
Title
Clinical Social Worker
Phone
(443) 212-8125

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 Worker 1041C0700X 09947 MD Primary

Addresses

Primary practice location

6528 Ballymore LN
Clarksville, MD 21029-1292

Mailing address

6528 Ballymore LN
Clarksville, MD 21029-1292
Phone (443) 212-8125

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1053748996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6528 BALLYMORE LN",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291292",
            "telephone_number": "443-212-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6528 BALLYMORE LN",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291292",
            "telephone_number": "443-212-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY GARDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "FISCHBEIN",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "443-212-8125",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.