NPIMap

Organization Active NPI

DC Multicultural Counseling Center LLC

  • Clinical Social Worker
  • Burtonsville, MD
National Provider Identifier
1306304563
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DC MULTICULTURAL COUNSELING CENTER LLC
Practice address
15715 Kruhm Rd
Burtonsville, MD 20866-1409
Phone
(301) 615-1563
NPI assigned
Mar 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Authorized official

Name
Doha Chibani Talaat, LCSW-C
Title
Clinical Social Worker
Phone
(301) 615-1563

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

15715 Kruhm Rd
Burtonsville, MD 20866-1409

Mailing address

15715 Kruhm Rd
Burtonsville, MD 20866-1409
Phone (301) 615-1563

Other identifiers 1

IdentifierTypeStateIssuer
070357500MedicaidMD

Other names 1

  • Mental Health Counseling Doing business as

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": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1306304563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15715 KRUHM RD",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661409",
            "telephone_number": "301-615-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 KRUHM RD",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661409",
            "telephone_number": "301-615-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC MULTICULTURAL COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "CHIBANI TALAAT",
        "authorized_official_first_name": "DOHA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "301-615-1563",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070357500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.