Organization Active NPI

Living Well and Whole Counseling Services

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1104547330
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIVING WELL AND WHOLE COUNSELING SERVICES
Practice address
9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789
Phone
(443) 507-8467
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Jennifer Marquez, LCSW-C
Title
Therapist
Phone
(301) 758-7487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789

Mailing address

9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789

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.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1104547330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 WASHINGTONIAN BLVD STE 550",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 WASHINGTONIAN BLVD STE 550",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785789",
            "telephone_number": "443-507-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL AND WHOLE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "301-758-7487",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.