NPIMap

Organization Active NPI

Capital Therapeutic Services, LLCC

  • Clinical Social Worker
  • Hyattsville, MD
National Provider Identifier
1306387360
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13108 Issued in MD
Legal business name
CAPITAL THERAPEUTIC SERVICES, LLCC
Practice address
2204 E Marlboro Ave
Hyattsville, MD 20785-5205
Phone
(240) 432-4030
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Mrs. Larhonda S Gough, LCSW-C, LICSWNPI 1295780658
Title
Clinical Manager/Ceo
Phone
(240) 432-4030

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 13108 MD Primary

Addresses

Primary practice location

2204 E Marlboro Ave
Hyattsville, MD 20785-5205

Mailing address

2204 E Marlboro Ave
Hyattsville, MD 20785-5205
Phone (240) 432-4030

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": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1306387360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 E MARLBORO AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207855205",
            "telephone_number": "240-432-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 E MARLBORO AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207855205",
            "telephone_number": "240-432-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL THERAPEUTIC SERVICES, LLCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "GOUGH",
        "authorized_official_first_name": "LARHONDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL MANAGER/CEO",
        "authorized_official_telephone_number": "240-432-4030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.