Avenues to Healing

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21389 Issued in MD

Legal business name

AVENUES TO HEALING

Practice address

5 N Maple Ave Ste 102
La Plata, MD 20646-3744

Phone

(240) 435-1848

NPI assigned

Apr 28, 2016

Last updated

Feb 7, 2021By 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

Mrs. Catherine Deshetler, LCSWCNPI 1801261532

Title

Owner

Phone

(240) 435-1848

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine Deshetler, LCSW-C

  • Clinical Social Worker
  • La Plata, MD
  • NPI 1801261532
  Authorized official Same address or phone

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612656000000",
    "number": "1649625575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SHINING WILLOW WAY",
            "address_2": "PO BOX 244",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464224",
            "telephone_number": "240-435-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N MAPLE AVE STE 102",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206463744",
            "telephone_number": "240-435-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES TO HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A",
        "authorized_official_last_name": "DESHETLER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-435-1848",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSWC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in La Plata, MD
• Providers in La Plata, 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 Feb 7, 2021; 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.