Master Potter Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MASTER POTTER INC.

Practice address

11302 Polaris Dr
Upper Marlboro, MD 20774-3539

Phone

(301) 675-6153

NPI assigned

Mar 15, 2012

Organization subpart

Yes

Parent organization

MASTER POTTER INC.As reported in NPPES

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

Authorized official

Name

Mrs. Sylvana I KwentuaNPI 1508130477

Title

Clinical Social Worker

Phone

(301) 675-6153

Specialties & licenses 1

Addresses

Part of

Master Potter Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sylvana Kwentua, LCSW-C

  • Clinical Social Worker
  • Upper Marlboro, MD
  • NPI 1508130477
  NPD (past) Authorized official

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1184999724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 POLARIS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "301-675-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 POLARIS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743539",
            "telephone_number": "301-675-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER POTTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASTER POTTER INC.",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "KWENTUA",
        "authorized_official_first_name": "SYLVANA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "301-675-6153",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Mason
• Tamara Lynn Mason, LCPC, LPC
• Tanisha Mason, LPC, LCPC
• Miatta Umu Massaley
• Kai Massiah
• Master Services, Inc.
• Masterpiece Behavioral Health Solution, LLC (Masterpiece BHS, LLC)
• Masterpiece Behavioral Health Solutions, LLC (Masterpiece BHS,LLC)
• Pascaline Kutnjem Mate
• Malika Matthews, M.ED. CCC-SLP

• Community/Behavioral Health Agency in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.