NPIMap

Organization Active NPI

It Takes a Village Counseling Consulting & Support Services LLC

  • Clinical Social Worker
  • Reisterstown, MD
National Provider Identifier
1114675808
Registry record updated Mar 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
IT TAKES A VILLAGE COUNSELING CONSULTING & SUPPORT SERVICES LLC
Practice address
116 W Chestnut Hill LN
Reisterstown, MD 21136-3207
Phone
(843) 364-6610
NPI assigned
Mar 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2022

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

Authorized official

Name
Camellia Bernice BurtonNPI 1811260615
Title
Owner
Phone
(843) 364-6610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

116 W Chestnut Hill LN
Reisterstown, MD 21136-3207

Mailing address

116 W Chestnut Hill LN
Reisterstown, MD 21136-3207
Phone (843) 364-6610

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": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647129600000",
    "number": "1114675808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W CHESTNUT HILL LN",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363207",
            "telephone_number": "843-364-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W CHESTNUT HILL LN",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363207",
            "telephone_number": "843-364-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IT TAKES A VILLAGE COUNSELING CONSULTING & SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "CAMELLIA",
        "authorized_official_middle_name": "BERNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-364-6610"
    },
    "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 Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; 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.