Active NPI
Helene Thaker
- Clinical Social Worker
- Mount Airy, MD
National Provider Identifier
1124243159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06013
- Practice address
- 7415 Woodville Rd
Mount Airy, MD 21771-9211 - Phone
- (301) 693-5441
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 06013 | MD | Primary |
Addresses
Primary practice location
7415 Woodville Rd
Mount Airy, MD 21771-9211
Mailing address
7415 Woodville Rd
Mount Airy, MD 21771-9211
Phone (301) 693-5441
Other names 1
- Helene Thaker
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06013 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Assoc of Frederick Cty | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1124243159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7415 WOODVILLE RD",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217719211",
"telephone_number": "301-693-5441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7415 WOODVILLE RD",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217719211",
"telephone_number": "301-693-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKER",
"first_name": "HELENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "06013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HELENE",
"last_name": "THAKER",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mount Airy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.