Center Circle Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CENTER CIRCLE THERAPY, LLC

Practice address

10801 Hickory Ridge Rd Ste 220
Columbia, MD 21044-3871

Phone

(443) 472-4426

NPI assigned

Aug 4, 2017

Last updated

Aug 4, 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

Pamela ColbertNPI 1740277334

Title

Principal

Phone

(443) 472-4426

Specialties & licenses 1

Addresses

Locations

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.

• Pamela Q Colbert, LCSWC

  • Clinical Social Worker
  • Columbia, MD
  • NPI 1740277334
  NPD (past) Authorized official

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1114442746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 PATUXENT QUARTER RD",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 HICKORY RIDGE RD STE 220",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443871",
            "telephone_number": "443-472-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER CIRCLE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "443-472-4426"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Columbia, MD
• Providers in Columbia, 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 Aug 4, 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.