NPIMap

Organization Active NPI

Gifted Hands Wellness Center, LLC

  • Clinical Social Worker
  • Lanham, MD
National Provider Identifier
1174946271
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17916 Issued in MD
Legal business name
GIFTED HANDS WELLNESS CENTER, LLC
Practice address
5900 Princess Garden Pkwy
Suite 670
Lanham, MD 20706-2925
Phone
(301) 202-4814
NPI assigned
Jan 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Mrs. Nicole S Wright, LICSW, LCSW-C
Title
Owner
Phone
(301) 202-4814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 17916 MD Primary

Addresses

Primary practice location

5900 Princess Garden Pkwy
Suite 670
Lanham, MD 20706-2925

Mailing address

12210 Maycheck LN
Bowie, MD 20715-1555
Phone (301) 202-4814

Other identifiers 1

IdentifierTypeStateIssuer
265114900MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1174946271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 MAYCHECK LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151555",
            "telephone_number": "301-202-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 PRINCESS GARDEN PKWY",
            "address_2": "SUITE 670",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062925",
            "telephone_number": "301-202-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HANDS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-202-4814",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265114900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.