NPIMap

Organization Active NPI

Mental Fortitude and Consultants LLC

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1174307904
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MENTAL FORTITUDE AND CONSULTANTS LLC
Practice address
8878 Piney Branch Rd Apt 202
Silver Spring, MD 20903-2705
Phone
(301) 541-8803
NPI assigned
Aug 22, 2023
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Shawntese CharlesNPI 1568903615
Title
Owner
Phone
(301) 541-8803

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

8878 Piney Branch Rd Apt 202
Silver Spring, MD 20903-2705

Mailing address

8878 Piney Branch Rd Apt 202
Silver Spring, MD 20903-2705

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": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1174307904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8878 PINEY BRANCH RD APT 202",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8878 PINEY BRANCH RD APT 202",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032705",
            "telephone_number": "301-541-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL FORTITUDE AND CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "SHAWNTESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-541-8803"
    },
    "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 Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.