Organization Active NPI

New Dimension Therapeutic Services LLC

  • Clinical Social Worker
  • Largo, MD
National Provider Identifier
1386840452
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08667 Issued in MD
Legal business name
NEW DIMENSION THERAPEUTIC SERVICES LLC
Practice address
9701 Apollo Dr
Suite 331
Largo, MD 20774-4783
Phone
(301) 322-9190
Fax
(301) 322-1704
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Ms. Denyse Joefield, LCSW-C
Title
Owner
Phone
(301) 322-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 08667 MD Primary

Addresses

Primary practice location

9701 Apollo Dr
Suite 331
Largo, MD 20774-4783

Mailing address

PO Box 6773
Largo, MD 20792-6773
Phone (301) 322-9190

Other identifiers 1

IdentifierTypeStateIssuer
08667OtherMDLCSW-C LICENSE

National Provider Directory

National Provider Directory

Locations

9701 Apollo Dr
Ste 331
Largo, MD 20774
Phone (301) 322-9190

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1386840452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6773",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207926773",
            "telephone_number": "301-322-9190",
            "fax_number": "301-322-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR",
            "address_2": "SUITE 331",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744783",
            "telephone_number": "301-322-9190",
            "fax_number": "301-322-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIMENSION THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "JOEFIELD",
        "authorized_official_first_name": "DENYSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-322-9190",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-C LICENSE",
            "identifier": "08667",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.