NPIMap

Organization Active NPI

Illuminata Healing Arts

  • Clinical Social Worker
  • Lothian, MD
National Provider Identifier
1609168145
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11090 Issued in MD
Legal business name
ILLUMINATA HEALING ARTS
Practice address
230 Briggs Purchase
Lothian, MD 20711
Phone
(443) 203-5177
Fax
(410) 257-2219
NPI assigned
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Mary Woznysmith, LCSW-C
Title
Owner
Phone
(443) 203-5177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 11090 MD Primary

Addresses

Primary practice location

230 Briggs Purchase
Lothian, MD 20711

Mailing address

230 Briggs Purchase
Lothian, MD 20711
Phone (443) 203-5177

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1609168145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BRIGGS PURCHASE",
            "city": "LOTHIAN",
            "state": "MD",
            "postal_code": "20711",
            "telephone_number": "443-203-5177",
            "fax_number": "410-257-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BRIGGS PURCHASE",
            "city": "LOTHIAN",
            "state": "MD",
            "postal_code": "20711",
            "telephone_number": "443-203-5177",
            "fax_number": "410-257-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATA HEALING ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "WOZNYSMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-203-5177",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lothian, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.