Active NPI
Lighthouse Center for Therapy and Play, LLC
- Clinical Social Worker
- Germantown, MD
National Provider Identifier
1215363510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yvette Mimi Sneed, LCSW-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.