NPIMap

Organization Active NPI

Family Foundation Center LLC

  • Clinical Social Worker
  • Union Bridge, MD
National Provider Identifier
1659008522
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FAMILY FOUNDATION CENTER LLC
Practice address
104 N Main St
Union Bridge, MD 21791-9102
Phone
(443) 541-4300
NPI assigned
Aug 2, 2022
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
William John Bowman II
Title
Owner
Phone
(443) 541-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

104 N Main St
Union Bridge, MD 21791-9102

Mailing address

PO Box 591
Union Bridge, MD 21791-0592
Phone (443) 541-4300

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL therapynotes.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221205002738 MD Part B Supplier - Clinic/Group Practice 9032588538 Receives reassigned benefits from 1 practitioner
Practice locations: Union Bridge, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1659008522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "UNION BRIDGE",
            "state": "MD",
            "postal_code": "217910592",
            "telephone_number": "443-541-4300",
            "fax_number": "443-541-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "UNION BRIDGE",
            "state": "MD",
            "postal_code": "217919102",
            "telephone_number": "443-541-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOUNDATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "BOWMAN II",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-541-4300"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "104 N Main St",
            "city": "Union Bridge",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217919102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Union Bridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.