Motherlandco., LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOTHERLANDCO., LLC

Practice address

2000 Greenmount Ave Ste 101
Baltimore, MD 21218-6164

Phone

(410) 513-9611

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Desiree Luerene Israel, LCSW-CNPI 1396213575

Title

Owner

Phone

(410) 513-9611

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Desiree Luerene Israel, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1396213575
  NPD Authorized official

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1437762911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GREENMOUNT AVE STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186164",
            "telephone_number": "410-513-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GREENMOUNT AVE STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186164",
            "telephone_number": "410-513-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERLANDCO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "LUERENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-513-9611",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stewart H Mostofsky, MD
• Allison J Mostow, PHD
• Jacek Lech Mostwin, M.D.
• Rekha P Motagi, M.D.
• Angeline Motari Mokaya, CRNP
• Motion Evolved LLC
• Motivation to Change
• Henal Motiwala, MD
• Audry Soraya Motlagh-Harvey, LCSW-C, MPH
• Laura G Mott, MS CCC SLP

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, 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 Aug 25, 2020; 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.