Enrichment Endeavors, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15603 Issued in MD

Legal business name

ENRICHMENT ENDEAVORS, LLC

Practice address

100 West Rd
Towson, MD 21204-2331

Phone

(443) 750-3477

NPI assigned

Jan 9, 2018

Organization subpart

No

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

Authorized official

Name

Kelly Dacunha, LCSW-CNPI 1750897088

Title

Director

Phone

(443) 750-3477

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Dacunha, MSW, LCSW-C

  • Clinical Social Worker
  • Lutherville, MD
  • NPI 1750897088
  NPD Authorized official

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1164939385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 OLD HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042331",
            "telephone_number": "443-750-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHMENT ENDEAVORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "DACUNHA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-750-3477",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750897088",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Endoscopy Center of North Baltlimore
• Katja Engel-Hughes, LGPC
• Lisa R Engel, PH.D
• Candice England
• Adriane English, PMHNP-BC
• Epiphany Dermatology of Maryland PA
• Ashley Epperson
• Christina Elisabeth Eppinghaus, PHYSICAL THERAPIST
• John H Eppler, M.D.
• Richard Epstein, M.D.

• Clinical Social Worker in Towson, MD
• Providers in Towson, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.