Organization Active NPI

Lighthouse Center for Therapy and Play, LLC

  • Clinical Social Worker
  • Germantown, MD
National Provider Identifier
1215363510
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIGHTHOUSE CENTER FOR THERAPY AND PLAY, LLC
Practice address
13426 Daventry Way Apt D
Germantown, MD 20874-2943
Phone
(240) 554-5818
Fax
(443) 276-0905
NPI assigned
Sep 18, 2013
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Yvette Mimi Sneed, LCSW-CNPI 1396051181
Title
Owner/Therapist
Phone
(240) 554-5818

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

13426 Daventry Way Apt D
Germantown, MD 20874-2943

Mailing address

13426 Daventry Way Apt D
Germantown, MD 20874-2943
Phone (240) 554-5818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250128000022 DC Part B Supplier - Clinic/Group Practice 6002048014 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, MD

National Provider Directory

National Provider Directory

Locations

6925 Oakland Mills Rd
Ste 206
Columbia, MD 21045

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": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1215363510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13426 DAVENTRY WAY APT D",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742943",
            "telephone_number": "240-554-5818",
            "fax_number": "443-276-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13426 DAVENTRY WAY APT D",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742943",
            "telephone_number": "240-554-5818",
            "fax_number": "443-276-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE CENTER FOR THERAPY AND PLAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "MIMI",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "240-554-5818",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.