Individual provider Active NPI

John James Mahlmann, PH.D., LCSW-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1083835524
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07157 Issued in MD
Practice address
414 Hungerford Dr
Suite 240
Rockville, MD 20850-4125
Phone
(301) 452-2486
Fax
(301) 340-2060
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 07157 MD Primary

Addresses

Primary practice location

414 Hungerford Dr
Suite 240
Rockville, MD 20850-4125

Mailing address

414 Hungerford Dr Ste 240
Suite 240
Rockville, MD 20850-4172
Phone (301) 452-2486

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
07157MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083835524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 HUNGERFORD DR STE 240",
            "address_2": "SUITE 240",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504172",
            "telephone_number": "301-452-2486",
            "fax_number": "301-340-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 HUNGERFORD DR",
            "address_2": "SUITE 240",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504125",
            "telephone_number": "301-452-2486",
            "fax_number": "301-340-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLMANN",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.