Organization Active NPI

JMD Counseling and Therapeutic Services, LLC

  • Clinical Social Worker
  • Takoma Park, MD
National Provider Identifier
1477688760
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13358 Issued in MD
Legal business name
JMD COUNSELING AND THERAPEUTIC SERVICES, LLC
Practice address
6930 Carroll Ave
Suite 400
Takoma Park, MD 20912-4423
Phone
(301) 891-2060
Fax
(301) 576-4461
NPI assigned
Feb 23, 2007
Last updated
Nov 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Ms. Michelle Brown Dodge, J.D.,M.S.W.
Title
President
Phone
(301) 891-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13358 MD Primary

Addresses

Primary practice location

6930 Carroll Ave
Suite 400
Takoma Park, MD 20912-4423

Mailing address

6930 Carroll Ave
Suite 905
Takoma Park, MD 20912-4423
Phone (301) 891-2060

National Provider Directory

National Provider Directory

Locations

6930 Carroll Ave
Ste 400
Takoma Park, MD 20912
Phone (301) 891-2060

6930 Carroll Ave
Ste 905
Takoma Park, MD 20912

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1477688760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 CARROLL AVE",
            "address_2": "SUITE 905",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124423",
            "telephone_number": "301-891-2060",
            "fax_number": "301-576-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 CARROLL AVE",
            "address_2": "SUITE 400",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124423",
            "telephone_number": "301-891-2060",
            "fax_number": "301-576-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMD COUNSELING AND THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-891-2060",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "J.D.,M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.