NPIMap

Organization Active NPI

Interdyanmics,Inc.

  • Clinical Social Worker
  • Lanham, MD
National Provider Identifier
1568808012
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18189 Issued in MD
Legal business name
INTERDYANMICS,INC.
Practice address
4601 Forbes Blvd
Suite #100
Lanham, MD 20706-4807
Phone
(301) 306-4590
Fax
(301) 306-4591
NPI assigned
May 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Mrs. Mary Mitchell
Title
Administrative Project Manager
Phone
(301) 306-4590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 18189 MD Primary

Addresses

Primary practice location

4601 Forbes Blvd
Suite #100
Lanham, MD 20706-4807

Mailing address

4601 Forbes Blvd
Lanham, MD 20706-4807
Phone (301) 306-4590

National Provider Directory

National Provider Directory
Tax ID family
Interdynamics Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1568808012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 FORBES BLVD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064807",
            "telephone_number": "301-306-4590",
            "fax_number": "301-306-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 FORBES BLVD",
            "address_2": "SUITE #100",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064807",
            "telephone_number": "301-306-4590",
            "fax_number": "301-306-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERDYANMICS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATIVE PROJECT MANAGER",
        "authorized_official_telephone_number": "301-306-4590",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.