S.J. Woodward Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17773 Issued in MD

Legal business name

S.J. WOODWARD PSYCHOTHERAPY, LLC

Practice address

22530 Washington St
Suite 4
Leonardtown, MD 20650-3898

Phone

(240) 561-9559

Fax

(240) 718-2097

NPI assigned

Jan 3, 2017

Last updated

Jan 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sarah J Woodward, LCSW-C

Title

Owner

Phone

(240) 561-9559

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sarah J Woodward, LLC Other name

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1053856823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1434",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206501434",
            "telephone_number": "240-561-9559",
            "fax_number": "240-718-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22530 WASHINGTON ST",
            "address_2": "SUITE 4",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503898",
            "telephone_number": "240-561-9559",
            "fax_number": "240-718-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.J. WOODWARD PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-561-9559",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1039873 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarah J Woodward, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melinda Ruppert, LGPC
• Bianca Ruslander, LCSW-C
• Andrea Marie Russell, LCSW-C
• Dana Marie Russell, CRNP
• Carilynn Wright Rutledge, MSN, CNM
• Jennifer Salter, M.ED.
• Rashmi T Samdani, M.D.
• Carrie Samora, RDH
• Kashmira Satghar, PT
• Valentina Savel, CRNA

• Clinical Social Worker in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.