Organization Active NPI

Amanah Family Counseling, LLC

  • Clinical Social Worker
  • Clarksville, MD
National Provider Identifier
1457768194
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17576 Issued in MD
Legal business name
AMANAH FAMILY COUNSELING, LLC
Practice address
5553 Broadwater LN
Clarksville, MD 21029-1156
Phone
(703) 244-0003
NPI assigned
Jul 15, 2014
Last updated
Jul 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Najwa Awad, LCSWNPI 1457678757
Title
Owner
Phone
(703) 244-0003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17576 MD Primary

Addresses

Primary practice location

5553 Broadwater LN
Clarksville, MD 21029-1156

Mailing address

6631 Johnnycake Rd
Baltimore, MD 21244-2401
Phone (410) 999-5516

National Provider Directory

National Provider Directory
Tax ID family
Amanah Family Counseling LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6631 Johnnycake Rd
Windsor Mill, MD 21244
Phone (410) 999-5516

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1457768194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 JOHNNYCAKE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442401",
            "telephone_number": "410-999-5516",
            "fax_number": "410-997-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5553 BROADWATER LN",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291156",
            "telephone_number": "703-244-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANAH FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "NAJWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-244-0003",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.