Organization Active NPI

Debra S Ward LCSW-C LLC

  • Adult Mental Health Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1285284042
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DEBRA S WARD LCSW-C LLC
Practice address
113 S Prospect St
Hagerstown, MD 21740-5409
Phone
(301) 745-1900
Fax
(301) 745-4110
NPI assigned
Sep 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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

Authorized official

Name
Debra Sue Ward, LCSW-CNPI 1619112976
Title
Owner
Phone
(301) 745-1900

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)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

113 S Prospect St
Hagerstown, MD 21740-5409

Mailing address

113 S Prospect St
Hagerstown, MD 21740-5409
Phone (301) 745-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191104002611 MD Part B Supplier - Clinic/Group Practice 8527390962 Receives reassigned benefits from 1 practitioner
Practice locations: Hagerstown, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568419200000",
    "number": "1285284042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S PROSPECT ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405409",
            "telephone_number": "301-745-1900",
            "fax_number": "301-145-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S PROSPECT ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405409",
            "telephone_number": "301-745-1900",
            "fax_number": "301-745-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA S WARD LCSW-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-14",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-745-1900",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.