Foundations for Success, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FOUNDATIONS FOR SUCCESS, LLC

Practice address

367 Marydell Rd
Baltimore, MD 21229-4108

Phone

(240) 600-0942

NPI assigned

Mar 19, 2022

Organization subpart

No

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

Authorized official

Name

Miss Shamirah Natarsha Jackson, LMSWNPI 1619552619

Title

Program Administrator

Phone

(240) 600-0942

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shamirah Natarsha Jackson, LMSW

  • Social Worker
  • Baltimore, MD
  • NPI 1619552619
  NPD Authorized official

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647648000000",
    "number": "1225787153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 MARYDELL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294108",
            "telephone_number": "240-600-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 MARYDELL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294108",
            "telephone_number": "240-600-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS FOR SUCCESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-19",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHAMIRAH",
        "authorized_official_middle_name": "NATARSHA",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "240-600-0942",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larita Yvette Fouche-Weber, M.D.
• Florence Rosemonde Fouda Armelle
• Vincent Dufour Fouedjou, FNP
• Dominique Foulkes, MD
• Foundation of Luv Inc.
• Fountain Health Care, LLC
• Fountain Health Care, LLC
• Fountain Health Care, LLC
• Fountain Health Services Inc.
• Fountain Health Services Inc.

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; 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.