Active NPI
DJLS Therapy Services LLC
- Clinical Social Worker
- Bowie, MD
National Provider Identifier
1285012989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20142
- Legal business name
- DJLS THERAPY SERVICES LLC
- Practice address
- 14300 Gallant Fox Lane
Suite 115
Bowie, MD 20715 - Phone
- (571) 236-7012
- NPI assigned
- May 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joy Roshawn Hart, LCSW-C
- Title
- Owner
- Phone
- (571) 236-7012
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20142 | MD | Primary |
Addresses
Primary practice location
14300 Gallant Fox Lane
Suite 115
Bowie, MD 20715
Mailing address
9215 Deer Village Drive
Laruel, MD 20723
Phone (571) 236-7012
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080383900 | Medicaid | MD | |
| 365785 | Other | MD | PROVIDER TRANSACTION ACCESS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562976000000",
"number": "1285012989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9215 DEER VILLAGE DRIVE",
"city": "LARUEL",
"state": "MD",
"postal_code": "20723",
"telephone_number": "571-236-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 GALLANT FOX LANE",
"address_2": "SUITE 115",
"city": "BOWIE",
"state": "MD",
"postal_code": "20715",
"telephone_number": "571-236-7012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DJLS THERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-13",
"last_updated": "2019-07-13",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "JOY",
"authorized_official_middle_name": "ROSHAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-236-7012",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "20142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080383900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER TRANSACTION ACCESS NUMBER",
"identifier": "365785",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; 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.