Organization Active NPI

Pure Potential Unlimited

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1376008490
Registry record updated Feb 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PURE POTENTIAL UNLIMITED
Practice address
711 W. 40TH Street
Suite 153 -309
Baltimore, MD 21211-2143
Phone
(301) 910-1976
NPI assigned
Feb 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2019

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

Authorized official

Name
Melodye Watson
Title
Director
Phone
(301) 910-1976

Specialties & licenses 1

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

Addresses

Primary practice location

711 W. 40TH Street
Suite 153 -309
Baltimore, MD 21211-2143

Mailing address

711 W. 40TH Street
Suite 153 -309
Baltimore, MD 21211-2143
Phone (301) 910-1976

National Provider Directory

National Provider Directory

Locations

711 W 40th St
Ste 153
Baltimore, MD 21211
Phone (301) 910-1976

NPI Registry JSON

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

{
    "created_epoch": "1549065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549065600000",
    "number": "1376008490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W. 40TH STREET",
            "address_2": "SUITE 153 -309",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112143",
            "telephone_number": "301-910-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W. 40TH STREET",
            "address_2": "SUITE 153 -309",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112143",
            "telephone_number": "301-910-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE POTENTIAL UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-02",
        "last_updated": "2019-02-02",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MELODYE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-910-1976"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.