NPIMap

Organization Active NPI

Joseph a. Maravi, LLC

  • Clinical Social Worker
  • Laurel, MD
National Provider Identifier
1497232433
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07383 Issued in MD
Legal business name
JOSEPH A. MARAVI, LLC
Practice address
585 Main St Ste 143
Laurel, MD 20707-4354
Phone
(301) 490-0778
NPI assigned
Jul 23, 2018
Last updated
Jul 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Mr. Joseph Ari Maravi, LCSW-CNPI 1679514699
Title
President
Phone
(443) 831-9001

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 07383 MD Primary

Addresses

Primary practice location

585 Main St Ste 143
Laurel, MD 20707-4354

Mailing address

6486 Onward TRL
Clarksville, MD 21029-1282
Phone (443) 831-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221004003521 MD Part B Supplier - Clinic/Group Practice 2567714355 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MD

National Provider Directory

National Provider Directory

Locations

9841 Broken Land Pkwy
Ste 116
Columbia, MD 21046
Phone (301) 490-0778

9861 Broken Land Pkwy
Ste 105
Columbia, MD 21046
Phone (301) 490-0778

Practitioners & affiliated clinicians

Practitioners 5

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": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1497232433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6486 ONWARD TRL",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291282",
            "telephone_number": "443-831-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MAIN ST STE 143",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074354",
            "telephone_number": "301-490-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A. MARAVI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "MARAVI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-831-9001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.