NPIMap

Organization Active NPI

Life Purpose Wellness Center, LLC

  • Clinical Social Worker
  • Fort Washington, MD
National Provider Identifier
1174860720
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10981 Issued in MD
Legal business name
LIFE PURPOSE WELLNESS CENTER, LLC
Practice address
10905 Fort Washington Rd
Suite 400a
Fort Washington, MD 20744-5843
Phone
(301) 485-1532
Fax
(301) 485-1534
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Melissa Louise Brown, LCSW-C
Title
Executive Director
Phone
(301) 485-1532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 10981 MD Primary

Addresses

Primary practice location

10905 Fort Washington Rd
Suite 400a
Fort Washington, MD 20744-5843

Mailing address

10905 Fort Washington Rd
Suite 400a
Fort Washington, MD 20744-5843
Phone (301) 485-1532

National Provider Directory

National Provider Directory

Locations

10905 Fort Washington Rd
Ste 400A
Fort Washington, MD 20744
Phone (301) 485-1532

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1174860720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10905 FORT WASHINGTON RD",
            "address_2": "SUITE 400A",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445843",
            "telephone_number": "301-485-1532",
            "fax_number": "301-485-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 FORT WASHINGTON RD",
            "address_2": "SUITE 400A",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445843",
            "telephone_number": "301-485-1532",
            "fax_number": "301-485-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PURPOSE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-485-1532",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.