Individual provider Active NPI

Marja Lindsey Reed, LCSW-C, LICSW, LCSW

  • Clinical Social Worker
  • Largo, MD
National Provider Identifier
1437670072
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18509 Issued in MD
Practice address
1300 Mercantile LN Ste 100N
Largo, MD 20774-5390
Phone
(240) 583-0663
NPI assigned
Jul 5, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50079912 DC
Clinical Social Worker 1041C0700X DP00944897 WV
Clinical Social Worker 1041C0700X 0904010403 VA
Clinical Social Worker 1041C0700X 18509 MD Primary

Addresses

Primary practice location

1300 Mercantile LN Ste 100N
Largo, MD 20774-5390

Mailing address

1300 Mercantile LN Ste 100N
Largo, MD 20774-5390
Phone (240) 583-0663

Other practice location 1

12801 Old Fort Rd Ste 303
Fort Washington, MD 20744-2833
Phone (240) 429-5390

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50079912DCMDClinical Social Worker
0904010403VAMDClinical Social Worker
DP00944897WVMDClinical Social Worker
18509MDMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437670072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN STE 100N",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745390",
            "telephone_number": "240-583-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN STE 100N",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745390",
            "telephone_number": "240-583-0663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12801 Old Fort Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207442833",
            "country_code": "US",
            "telephone_number": "240-429-5390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "MARJA",
        "middle_name": "LINDSEY",
        "credential": "LCSW-C, LICSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079912",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00944897",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010403",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18509",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2018; 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.