Mayflower Health Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17960 Issued in MD

Legal business name

MAYFLOWER HEALTH SERVICES LLC

Practice address

7025 Mayfair Rd
Laurel, MD 20707-5229

Phone

(410) 919-9587

Fax

(410) 919-9588

NPI assigned

Jun 24, 2014

Organization subpart

No

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

Authorized official

Name

Traci-Shara Fields, LCSW-C, CCTP

Title

Administrator

Phone

(410) 919-9587

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1588079982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 MAYFAIR RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075229",
            "telephone_number": "410-202-3471",
            "fax_number": "410-202-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 MAYFAIR RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075229",
            "telephone_number": "410-919-9587",
            "fax_number": "410-919-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TRACI-SHARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-919-9587",
        "authorized_official_credential": "LCSW-C, CCTP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608302100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Matthews
• Kristen K Maul, MA, CCC-SLP
• Maximum Performance Physical Therapy, Inc
• Maximum Performance Physical Therapy, Inc.
• Maria Maya, NURSE PRACTITIONER
• Jhenelle Mayne, OTR
• Mayor and City Council of Laurel
• Alexis Mays, OT
• Marinus Enow Mayu Anja
• Claudia Lopez Mazyck, ED.S

• Clinical Social Worker in Laurel, MD
• Providers in Laurel, 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 Apr 24, 2018; 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.