Safe Harbor Christian Counseling DC Metro

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14784 Issued in MD

Legal business name

SAFE HARBOR CHRISTIAN COUNSELING DC METRO

Practice address

3425 Emory Church Rd
Olney, MD 20832-2613

Phone

(410) 569-9497

Fax

(410) 569-0094

NPI assigned

Mar 14, 2013

Last updated

Mar 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelly Yost

Title

Director/LCSW-C

Phone

(410) 569-9497

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1578804688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12804 KENDALE LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153936",
            "telephone_number": "410-569-9497",
            "fax_number": "410-569-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 EMORY CHURCH RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322613",
            "telephone_number": "410-569-9497",
            "fax_number": "410-569-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR CHRISTIAN COUNSELING DC METRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "DIRECTOR/LCSW-C",
        "authorized_official_telephone_number": "410-569-9497"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon M Rovan, PT
• Delaney Rubenstein, LMSW
• Amy Elizabeth Ruiz, OTR/L
• Mary Kathleen Ryner, CCC-SLP
• Mohammad Ahmad Safdar Ali, MB, BS
• Mitra Salim, RPH
• Ebony Samuels
• Christian Bernard E San Jose, PT
• Cressida Rivadelo San Jose
• Roger Kenneth Sandberg, LCPC

• Clinical Social Worker in Olney, MD
• Providers in Olney, 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 Mar 14, 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.