NPIMap

Organization Active NPI

Life Purpose, Inc.

  • Clinical Social Worker
  • Fort Washington, MD
National Provider Identifier
1194013706
Registry record updated Jul 16, 2011
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, INC.
Practice address
700 Leeward CT
Fort Washington, MD 20744-5261
Phone
(301) 806-6606
NPI assigned
Jul 16, 2011
Last updated
Jul 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2011

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

Authorized official

Name
Melissa Louise Brown, LCSW-CNPI 1578841995
Title
Executive Director
Phone
(301) 806-6606

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 10981 MD Primary

Addresses

Primary practice location

700 Leeward CT
Fort Washington, MD 20744-5261

Mailing address

700 Leeward CT
Fort Washington, MD 20744-5261
Phone (301) 806-6606

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310774400000",
    "number": "1194013706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LEEWARD CT",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445261",
            "telephone_number": "301-806-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LEEWARD CT",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445261",
            "telephone_number": "301-806-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PURPOSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-16",
        "last_updated": "2011-07-16",
        "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": "301-806-6606",
        "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 Jul 16, 2011; 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.