Organization Active NPI

Empowered Therapeutic Services

  • Clinical Social Worker
  • Olney, MD
National Provider Identifier
1285281444
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMPOWERED THERAPEUTIC SERVICES
Practice address
16650 Georgia Ave
Olney, MD 20832-2418
Phone
(240) 720-7167
NPI assigned
Aug 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Mrs. Shani Cerritos, LCSW-C
Title
Social Worker
Phone
(301) 956-0768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

16650 Georgia Ave
Olney, MD 20832-2418

Mailing address

22 Ivy Oak CT
Gaithersburg, MD 20877-3844
Phone (301) 956-0768

Other practice location 1

22 Ivy Oak Ct
Gaithersburg, MD 20877-3844
Phone (240) 720-7167

National Provider Directory

National Provider Directory

Locations

16650 Georgia Ave
Olney, MD 20832
Phone (240) 720-7167

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1285281444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 IVY OAK CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773844",
            "telephone_number": "301-956-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 GEORGIA AVE",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322418",
            "telephone_number": "240-720-7167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Ivy Oak Ct",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208773844",
            "country_code": "US",
            "telephone_number": "240-720-7167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWERED THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "CERRITOS",
        "authorized_official_first_name": "SHANI",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "301-956-0768",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.