Passageways Therapy and Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17036 Issued in MD

Legal business name

PASSAGEWAYS THERAPY AND COUNSELING, LLC

Practice address

10 N Jefferson St Ste 403
Frederick, MD 21701-4823

Phone

(301) 514-4745

Fax

(301) 668-1854

NPI assigned

Sep 12, 2017

Organization subpart

No

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

Authorized official

Name

Tamara Lynn Koepp, LCSW-C

Title

Sole Member

Phone

(301) 514-4745

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1255850129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N. JEFFERSON STREET",
            "address_2": "SUITE 403",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217821702",
            "telephone_number": "301-514-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N JEFFERSON ST STE 403",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014823",
            "telephone_number": "301-514-4745",
            "fax_number": "301-668-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGEWAYS THERAPY AND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "KOEPP",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "301-514-4745",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Parsons, DPT
• Michael D Parsons, D.D.S.
• Spencer W Parsons
• Stephanie Parsons, MSPT
• Jivwe M Partridge, LMSW
• Yuvesh Passi, M.D.
• Kylee Nicole Passmann
• Passport Health Holdings, LLC
• Tricia Pastore-Bard, AU.D.
• Jayant L Patankar, M.D.

• Clinical Social Worker in Frederick, MD
• Providers in Frederick, 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 Sep 13, 2017; 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.