Active NPI
Cognizant Solutions Therapeutics, LLC
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1437640729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13404
- Legal business name
- COGNIZANT SOLUTIONS THERAPEUTICS, LLC
- Practice address
- 6700 Alexander Bell Dr Ste 200
Columbia, MD 21046 - Phone
- (443) 873-8992
- NPI assigned
- May 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Korlett Whitehead, MSW, LCSW-C
- Title
- Chief Clinical Officer
- Phone
- (443) 636-7978
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13404 | MD | |
| Mental Health Counselor | 101YM0800X | LC302189 | DC | |
| Clinical Social Worker | 1041C0700X | 13404 | MD | Primary |
| Clinical Social Worker | 1041C0700X | LC302189 | DC | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 13404 | MD | |
| Multi-Specialty Clinic/Center | 261QM1300X | 13404 | MD |
Addresses
Primary practice location
6700 Alexander Bell Dr Ste 200
Columbia, MD 21046
Mailing address
9757 Clocktower LN Apt 303
Columbia, MD 21046-3115
Phone (443) 636-7978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 927003500 | Medicaid | MD |
Other names 1
- Cognizant Protocol
National Provider Directory
National Provider DirectoryLocations
10015 Old Columbia Rd
Ste B19
Columbia, MD 21046
Phone (443) 800-0820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576800000000",
"number": "1437640729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9757 CLOCKTOWER LN APT 303",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210463115",
"telephone_number": "443-636-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 ALEXANDER BELL DR STE 200",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21046",
"telephone_number": "443-873-8992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COGNIZANT SOLUTIONS THERAPEUTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-23",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A",
"authorized_official_last_name": "WHITEHEAD",
"authorized_official_first_name": "KORLETT",
"authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
"authorized_official_telephone_number": "443-636-7978",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW, LCSW-C"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "13404",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "LC302189",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "13404",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC302189",
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "MD",
"license": "13404",
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "MD",
"license": "13404",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "927003500",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cognizant Protocol",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cognizant Protocol",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.