Carolyn O. Fordyce, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24724 Issued in MD

Practice address

6192 Oxon Hill Rd Ste 311
Oxon Hill, MD 20745-3147

Phone

(301) 567-0400

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: carolyn.fordyce.p1@direct.mdwellness.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All That'S Therapeutic, Inc.

  • Community/Behavioral Health Agency
  • Oxon Hill, MD
  • NPI 1538617980
  NPD (past)

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1578110243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BAIN DR APT 212",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207855969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6192 OXON HILL RD STE 311",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453147",
            "telephone_number": "301-567-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDYCE",
        "first_name": "CAROLYN",
        "middle_name": "O.",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50082983",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105768",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lowell Walsh Fludd
• FNP-BC Vip Concierge, LLC
• Fons Vitae Intl, Inc
• Jonas Fonya
• Charlotte Betekong Forchap
• Fortitude Counseling Center LLC
• Dana A Foster, FNP-BC, PMHNP-BC
• Brooke Marie Franklin, COTA
• Arayle Freels, LMSW
• Majustice Gaino

• Clinical Social Worker in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.