Organization Active NPI

A Healing Journey

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1124491162
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17463 Issued in MD
Legal business name
A HEALING JOURNEY
Practice address
3204 Tower Oaks Blvd
Suite 175
Rockville, MD 20852-4250
Phone
(240) 780-2380
NPI assigned
Nov 12, 2015
Last updated
Nov 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Cristy Novotney, MSW
Title
Psychotherapist
Phone
(240) 780-2380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17463 MD Primary

Addresses

Primary practice location

3204 Tower Oaks Blvd
Suite 175
Rockville, MD 20852-4250

Mailing address

3204 Tower Oaks Blvd
Suite 175
Rockville, MD 20852-4250
Phone (240) 780-2380

National Provider Directory

National Provider Directory

Locations

3204 Tower Oaks Blvd
Ste 175
Rockville, MD 20852
Phone (240) 461-6604

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1124491162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 TOWER OAKS BLVD",
            "address_2": "SUITE 175",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524250",
            "telephone_number": "240-780-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 TOWER OAKS BLVD",
            "address_2": "SUITE 175",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524250",
            "telephone_number": "240-780-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HEALING JOURNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "NOVOTNEY",
        "authorized_official_first_name": "CRISTY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "240-780-2380",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17463",
            "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 Nov 12, 2015; 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.