NPIMap

Organization Active NPI

Prosperity Redefined LLC

  • Clinical Social Worker
  • Pikesville, MD
National Provider Identifier
1174708382
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09133 Issued in MD
Legal business name
PROSPERITY REDEFINED LLC
Practice address
3701 Old Court Rd
Suite 17
Pikesville, MD 21208-3909
Phone
(410) 484-6070
Fax
(410) 484-3166
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Dionne Michelle Brown-Bushrod, LCSW-CNPI 1134110620
Title
Owner
Phone
(410) 484-6070

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 09133 MD Primary

Addresses

Primary practice location

3701 Old Court Rd
Suite 17
Pikesville, MD 21208-3909

Mailing address

3701 Old Court Rd
Suite 17
Pikesville, MD 21208-3909
Phone (410) 484-6070

National Provider Directory

National Provider Directory

Locations

3701 Old Court Rd
Ste 10
Pikesville, MD 21208
Phone (410) 415-9448

3701 Old Court Rd
Ste 17
Pikesville, MD 21208
Phone (410) 367-3811

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1174708382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 OLD COURT RD",
            "address_2": "SUITE 17",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083909",
            "telephone_number": "410-484-6070",
            "fax_number": "410-484-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 OLD COURT RD",
            "address_2": "SUITE 17",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083909",
            "telephone_number": "410-484-6070",
            "fax_number": "410-484-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY REDEFINED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "BROWN-BUSHROD",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-484-6070",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.