Capital Therapeutic Services, LLCC

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

Last updated

Mar 10, 2017By 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

Mrs. Larhonda S Gough, LCSW-C, LICSWNPI 1295780658

Title

Clinical Manager/Ceo

Phone

(240) 432-4030

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Larhonda S Gough, LICSW

  • Clinical Social Worker
  • Hyattsville, MD
  • NPI 1295780658
  NPD (past) Authorized official

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": []
}

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• Clinical Social Worker in Hyattsville, MD
• Providers in Hyattsville, 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 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.