Organization Active NPI

As Your Soul Prospers LLC

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1184447849
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AS YOUR SOUL PROSPERS LLC
Practice address
6027 Calla PL
Frederick, MD 21703-2995
Phone
(301) 401-2700
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Deborah Enyidah, LCSW-CNPI 1134664519
Title
Licensed Certified Social Worker
Phone
(301) 401-2700

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6027 Calla PL
Frederick, MD 21703-2995

Mailing address

6027 Calla PL
Frederick, MD 21703-2995

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.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1184447849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 CALLA PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 CALLA PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032995",
            "telephone_number": "301-401-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AS YOUR SOUL PROSPERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "ENYIDAH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "LICENSED CERTIFIED SOCIAL WORKER",
        "authorized_official_telephone_number": "301-401-2700",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.