Vitality Health and Wellness Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VITALITY HEALTH AND WELLNESS CENTER

Practice address

9701 Apollo Dr Ste 100
Largo, MD 20774-4785

Phone

(240) 696-7796

NPI assigned

Feb 25, 2019

Last updated

Feb 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana HubbardNPI 1720272305

Title

Admin/Clinical Manager

Phone

(301) 651-2588

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

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.

• Dana Hubbard, LCSW-C

  • Clinical Social Worker
  • Largo, MD
  • NPI 1720272305

  DC

  Medicare reassignment NPD Authorized official
• Courtney Howard, LGSW

  • Social Worker
  • Largo, MD
  • NPI 1326680778
  NPD (past)

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1306303433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3638 SWEETBUSH TRL",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242492",
            "telephone_number": "301-651-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744785",
            "telephone_number": "240-696-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "ADMIN/CLINICAL MANAGER",
        "authorized_official_telephone_number": "301-651-2588"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Family Network, Inc.
• Village Family Network, Inc.
• Derrick Villier
• Visage Dermatology and Aesthetic Center, LLC
• Vita Matters Therapy
• Binh Viet Vo, M.D.
• Truc Anh Vu
• Bettye Wages, LCPC
• William Wagner
• Walgreen Co (Walgreens #19336)

• Clinical Social Worker in Largo, MD
• Providers in Largo, 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 Feb 25, 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.