The Health and Wellness Source, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11195 Issued in MD

Legal business name

THE HEALTH AND WELLNESS SOURCE, LLC

Practice address

4230 Forbes Blvd Ste a
Lanham, MD 20706-4398

Phone

(240) 350-9777

NPI assigned

Mar 10, 2011

Last updated

Mar 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Gacho Richardson, LCSW-C

Title

Executive Director

Phone

(240) 350-9777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426896000000",
    "number": "1215235528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 FORBES BLVD STE A",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064398",
            "telephone_number": "240-350-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 FORBES BLVD STE A",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064398",
            "telephone_number": "240-350-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH AND WELLNESS SOURCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2015-03-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "GACHO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "240-350-9777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Lanham, MD
• Providers in Lanham, 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 Mar 21, 2015; 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.