Organization Active NPI

Retrospect Emdr Therapy, LLC

  • Clinical Social Worker
  • Kensington, MD
National Provider Identifier
1356220271
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RETROSPECT EMDR THERAPY, LLC
Practice address
11120 Dewey Rd
Kensington, MD 20895-1314
Phone
(240) 687-9078
NPI assigned
Aug 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Jennifer Lodico Ward, LCSW-C
Title
Business Owner and Therapist
Phone
(240) 687-9078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11120 Dewey Rd
Kensington, MD 20895-1314

Mailing address

11120 Dewey Rd
Kensington, MD 20895-1314
Phone (240) 687-9078

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": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1356220271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 DEWEY RD",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951314",
            "telephone_number": "240-687-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 DEWEY RD",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951314",
            "telephone_number": "240-687-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETROSPECT EMDR THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LODICO",
        "authorized_official_title_or_position": "BUSINESS OWNER AND  THERAPIST",
        "authorized_official_telephone_number": "240-687-9078",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.