Northern Chesapeake Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14423 Issued in MD

Legal business name

NORTHERN CHESAPEAKE COUNSELING, LLC

Practice address

437 Girard St
Havre de Grace, MD 21078-3215

Phone

(301) 655-3102

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Joel E. Lightfoot, LCSW-CNPI 1457898322

Title

Owner

Phone

(301) 655-3102

Specialties & licenses 1

Addresses

Locations

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.

• Joel E. Lightfoot, LCSW-C

  • Clinical Social Worker
  • Havre de Grace, MD
  • NPI 1457898322
  Authorized official Same address or phone

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1205375466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 GIRARD ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783215",
            "telephone_number": "301-655-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 GIRARD ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783215",
            "telephone_number": "301-655-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CHESAPEAKE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "LIGHTFOOT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-655-3102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.