Active NPI
JMD Counseling and Therapeutic Services, LLC
- Clinical Social Worker
- Takoma Park, MD
National Provider Identifier
1477688760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13358
- 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, 2010
- 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
- Ms. Michelle Brown Dodge, J.D.,M.S.W.
- Title
- President
- Phone
- (301) 891-2060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Takoma Park, MD
- NPI 1447307228
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.