Organization Active NPI

Brightspot Therapy and Wellness LLC

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1154110427
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRIGHTSPOT THERAPY AND WELLNESS LLC
Practice address
9841 Washingtonian Blvd Ste 200-1048
Gaithersburg, MD 20878-5389
Phone
(571) 308-6228
NPI assigned
May 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Authorized official

Name
Jacqueline Casumbal, LICSW, LCSW-C, LCSWNPI 1851001465
Title
Owner and Psychotherapist
Phone
(571) 308-6228

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

9841 Washingtonian Blvd Ste 200-1048
Gaithersburg, MD 20878-5389

Mailing address

9841 Washingtonian Blvd Ste 200-1048
Gaithersburg, MD 20878-5389

National Provider Directory

National Provider Directory

Locations

9841 Washingtonian Blvd
Ste 2001048
Gaithersburg, MD 20878
Phone (571) 308-6228

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": "1746230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746230400000",
    "number": "1154110427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 WASHINGTONIAN BLVD STE 200-1048",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 WASHINGTONIAN BLVD STE 200-1048",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785389",
            "telephone_number": "571-308-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSPOT THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-03",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A",
        "authorized_official_last_name": "CASUMBAL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "571-308-6228",
        "authorized_official_credential": "LICSW, LCSW-C, LCSW"
    },
    "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 Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; 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.