Joan P Medway, P.a.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

#2521 LCSW-C Issued in MD

Legal business name

JOAN P MEDWAY, P.A.

Practice address

10008 Colebrook Avenue
Potomac, MD 20854-1807

Phone

(301) 279-2667

NPI assigned

Apr 6, 2009

Organization subpart

No

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

Authorized official

Name

Joan P Medway

Title

President

Phone

(301) 279-2667

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1184866170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10008 COLEBROOK AVENUE",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541807",
            "telephone_number": "301-279-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10008 COLEBROOK AVENUE",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541807",
            "telephone_number": "301-279-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN P MEDWAY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "MEDWAY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-279-2667"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "#2521 LCSW-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.