NPIMap

Organization Active NPI

Ready Set Grow

  • Clinical Social Worker
  • Bowie, MD
National Provider Identifier
1174069082
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20243 Issued in MD
Legal business name
READY SET GROW
Practice address
4329 Northview Dr
Bowie, MD 20716-2601
Phone
(716) 812-2230
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Dr. Dawn Thurman, PH.D.
Title
Clinical Director/Therapist
Phone
(716) 812-2230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 20243 MD Primary

Addresses

Primary practice location

4329 Northview Dr
Bowie, MD 20716-2601

Mailing address

4329 Northview Dr
Ready Set Grow
Bowie, MD 20716
Phone (240) 560-2680

Other identifiers 4

IdentifierTypeStateIssuer
1205159431MedicaidMD
1205159431OtherMDCIGNA
1205159431OtherMDBLUE CROSS BLUE SHIELD
1205159431OtherMDCAREFIRST BLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1174069082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4329 NORTHVIEW DR",
            "address_2": "READY SET GROW",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "240-560-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 NORTHVIEW DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162601",
            "telephone_number": "716-812-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READY SET GROW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "THURMAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "716-812-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205159431",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1205159431",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1205159431",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "1205159431",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.