Semper Mentor

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15384 Issued in MD

Legal business name

SEMPER MENTOR

Practice address

6917 Arlington Rd
Ste 215
Bethesda, MD 20814-5211

Phone

(240) 630-4695

NPI assigned

Nov 24, 2015

Organization subpart

No

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

Authorized official

Name

Crystal Shelton, LCSW-C

Title

Clinical Director

Phone

(512) 468-9789

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1245604545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 ARLINGTON ROAD",
            "address_2": "STE 215",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 ARLINGTON RD",
            "address_2": "STE 215",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145211",
            "telephone_number": "240-630-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMPER MENTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "512-468-9789",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bethesda, MD
• Providers in Bethesda, 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 Nov 24, 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.