Mending Minds Mental Health Collective LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MENDING MINDS MENTAL HEALTH COLLECTIVE LLC

Practice address

333 Assembly Point CT
Odenton, MD 21113-2909

Phone

(301) 257-5079

NPI assigned

Mar 14, 2024

Last updated

Mar 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paris S SmithNPI 1245794379

Title

Owner

Phone

(301) 257-5079

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paris Sharice Smith, LICSW

  • Clinical Social Worker
  • Washington, DC
  • NPI 1245794379
  NPD Authorized official

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1427817246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ASSEMBLY POINT CT",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132909",
            "telephone_number": "301-257-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ASSEMBLY POINT CT",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132909",
            "telephone_number": "301-257-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MINDS MENTAL HEALTH COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PARIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-257-5079"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makela Danielle McRae, BA,BS, MED HIGHER ED
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• Judith M Melchiorre, PAC
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• Caitlin Miller
• Valencia Nycole Miller

• Clinical Social Worker in Odenton, MD
• Providers in Odenton, 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 Mar 14, 2024; 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.