Organization Active NPI

Support With Compassion Family Counseling, LLC

  • Clinical Social Worker
  • Joppa, MD
National Provider Identifier
1144662867
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15504 Issued in MD
Legal business name
SUPPORT WITH COMPASSION FAMILY COUNSELING, LLC
Practice address
1405 Singer Rd
Joppa, MD 21085-2112
Phone
(410) 688-2138
NPI assigned
Jul 23, 2013
Last updated
Dec 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Donna Lee Withrow, LCSW-CNPI 1457656480
Title
Owner
Phone
(410) 688-2138

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 Worker 1041C0700X 15504 MD Primary

Addresses

Primary practice location

1405 Singer Rd
Joppa, MD 21085-2112

Mailing address

1405 Singer Rd
Joppa, MD 21085-2112
Phone (410) 688-2138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131101000335 MD Part B Supplier - Clinic/Group Practice 7517192354 Receives reassigned benefits from 1 practitioner
Practice locations: Joppa, MD

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1144662867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SINGER RD",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210852112",
            "telephone_number": "410-688-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SINGER RD",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210852112",
            "telephone_number": "410-688-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT WITH COMPASSION FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "WITHROW",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-688-2138",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joppa, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.