Organization Active NPI

Center for Resilience and Connection

  • Clinical Social Worker
  • Greenbelt, MD
National Provider Identifier
1245733047
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CENTER FOR RESILIENCE AND CONNECTION
Practice address
9111 Edmonston Rd
Suite 303
Greenbelt, MD 20770-1507
Phone
(443) 540-2875
NPI assigned
Mar 18, 2018
Last updated
Mar 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2024

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

Authorized official

Name
Susan Ashley Taylor, LCSW-CNPI 1598177594
Title
Therapist/Consultant
Phone
(443) 540-2875

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

9111 Edmonston Rd
Suite 303
Greenbelt, MD 20770-1507

Mailing address

22H Hillside Rd Unit H
Greenbelt, MD 20770-7995
Phone (443) 540-2875

Other practice location 1

22 Hillside Rd Unit H
Greenbelt, MD 20770-7795
Phone (443) 540-2875

Other practice location 2

22 Hillside Rd Unit H
Greenbelt, MD 20770-7795
Phone (443) 540-2875

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240212002376 DC Part B Supplier - Clinic/Group Practice 5294077442 Receives reassigned benefits from 1 practitioner
Practice locations: Greenbelt, MD

National Provider Directory

National Provider Directory

Locations

1045 Taylor Ave
Ste 209
Baltimore, MD 21286
Phone (410) 321-4285

9111 Edmonston Rd
Ste 303
Greenbelt, MD 20770
Phone (443) 540-2875

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": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709424000000",
    "number": "1245733047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22H HILLSIDE RD UNIT H",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207707995",
            "telephone_number": "443-540-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 EDMONSTON RD",
            "address_2": "SUITE 303",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701507",
            "telephone_number": "443-540-2875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Hillside Rd Unit H",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207707795",
            "country_code": "US",
            "telephone_number": "443-540-2875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Hillside Rd Unit H",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207707795",
            "country_code": "US",
            "telephone_number": "443-540-2875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR RESILIENCE AND CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "THERAPIST/CONSULTANT",
        "authorized_official_telephone_number": "443-540-2875",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; 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.