John Robert Belcher, PH.D., LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06349 Issued in MD

Practice address

6665 Security Boulevard
Woodlawn, MD 21207

Phone

(410) 265-7291

NPI assigned

Feb 8, 2011

Last updated

Dec 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maryland Group Faculty Practice LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1104036300
  NPD (past)
• MSBC Five Star Program Inc

  dba The Renaissance Center

  • Professional Counselor
  • Woodlawn, MD
  • NPI 1427256379

  Clinical

  NPD (past)

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1396041372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CYPRESS RIDGE DRIVE",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "21146",
            "telephone_number": "410-265-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6665 SECURITY BOULEVARD",
            "city": "WOODLAWN",
            "state": "MD",
            "postal_code": "21207",
            "telephone_number": "410-265-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCHER",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PH.D., LCSWC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-08",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baltimore Detox Center LLC
• Jamar P Barnes
• Beautiful Hearts and Minds Health Services
• Beautiful Hearts and Minds Health Services
• Beautiful Hearts and Minds Health Services, LLC (Beautiful Hearts and Minds Wellness Center)
• Odejah Berry, LMSW
• Laurene Marie Blake, LCSW
• Bluepeak Diagnostic LLC
• Sarah Bolling, LGSW
• Nichole Boswell

• Clinical Social Worker in Woodlawn, MD
• Providers in Woodlawn, 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 Dec 3, 2013; 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.