Kent Robert Beduhn, L.C.S.W.-C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05659 Issued in MD

Practice address

10702 Lombardy Rd
Creative Change Therapy Center LLP
Silver Spring, MD 20901-1631

Phone

(301) 754-0122

Fax

(301) 754-0133

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creative Change Therapy Center LLP

  • Clinical Social Worker
  • Silver Spring, MD
  • NPI 1982862405
  NPD Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1083753354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10702 LOMBARDY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011631",
            "telephone_number": "301-754-0122",
            "fax_number": "301-754-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10702 LOMBARDY RD",
            "address_2": "CREATIVE CHANGE THERAPY CENTER LLP",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011631",
            "telephone_number": "301-754-0122",
            "fax_number": "301-754-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDUHN",
        "first_name": "KENT",
        "middle_name": "ROBERT",
        "credential": "L.C.S.W.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lukman Bilal Beckles, D.D.S.,M.S.
• Becky Abramson, LLC
• Bedell Dialysis, LLC
• Talya Bedford
• Daniela Bedon, LGPC
• Elizabeth A Beegle, CRNP
• Monique Beeko, PT, DPT, CCI
• Lauren Beeley
• Maya Beganovic, PHARMD, MPH
• Stephanie Lynn Begansky, PHARMD

• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, 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 Sep 3, 2009; 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.