NPIMap

Organization Active NPI

Basics Group Practice LLC

  • Clinical Social Worker
  • Forestville, MD
National Provider Identifier
1235444738
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15032 Issued in MD
Legal business name
BASICS GROUP PRACTICE LLC
Practice address
7610 Pennsylvania Ave
103
Forestville, MD 20747-4701
Phone
(443) 254-0966
Fax
(301) 423-5359
NPI assigned
Aug 10, 2010
Last updated
Aug 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Daniel Negussie Ferebee, LCSW-CNPI 1033341094
Title
Therapist/Owner
Phone
(443) 254-0966

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 Worker 1041C0700X 15032 MD Primary

Addresses

Primary practice location

7610 Pennsylvania Ave
103
Forestville, MD 20747-4701

Mailing address

7610 Pennsylvania Ave
103
Forestville, MD 20747-4701

National Provider Directory

National Provider Directory
Tax ID family
Basics Group Practice LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7610 Pennsylvania Ave
Ste 203
Forestville, MD 20747
Phone (301) 420-1972

Practitioners & affiliated clinicians

Practitioners 2

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": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1235444738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 PENNSYLVANIA AVE",
            "address_2": "103",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207474701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 PENNSYLVANIA AVE",
            "address_2": "103",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207474701",
            "telephone_number": "443-254-0966",
            "fax_number": "301-423-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASICS GROUP PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "FEREBEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "NEGUSSIE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "443-254-0966",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.