Active NPI
Berline Florence Mahound
- Social Worker
- Hagerstown, MD
National Provider Identifier
1407621865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LG200002695
- Practice address
- 11211 John F Kennedy Dr Apt 308
Hagerstown, MD 21742-6762 - Phone
- (301) 750-4050
- NPI assigned
- Nov 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LG200002695 | DC | Primary |
| Social Worker | 104100000X | 27450 | MD |
Addresses
Primary practice location
11211 John F Kennedy Dr Apt 308
Hagerstown, MD 21742-6762
Mailing address
11211 John F Kennedy Dr Apt 308
Hagerstown, MD 21742-6762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG200002695 | DC | MD | Social Worker |
| 27450 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1407621865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11211 JOHN F KENNEDY DR APT 308",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 JOHN F KENNEDY DR APT 308",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426762",
"telephone_number": "301-750-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHOUND",
"first_name": "BERLINE",
"middle_name": "FLORENCE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-16",
"last_updated": "2023-11-16",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG200002695",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "27450",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.