Active NPI
I a M Therapeutic
- Clinical Social Worker
- Frederick, MD
National Provider Identifier
1154017622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- I A M THERAPEUTIC
- Practice address
- 3390 Urbana Pike
Frederick, MD 21704-7769 - Phone
- (240) 702-6939
- NPI assigned
- Apr 17, 2023
- Last updated
- Dec 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michele Lee McCartney, LCSW-C
- Title
- Owner
- Phone
- (240) 893-8944
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
3390 Urbana Pike
Frederick, MD 21704-7769
Mailing address
3390 Urbana Pike
Frederick, MD 21704-7769
Phone (240) 893-8944
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Frederick, MD
- NPI 1952970170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701907200000",
"number": "1154017622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 URBANA PIKE",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047769",
"telephone_number": "240-893-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 URBANA PIKE",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047769",
"telephone_number": "240-702-6939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I A M THERAPEUTIC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-17",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A",
"authorized_official_last_name": "MCCARTNEY",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-893-8944",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.