Active NPI
Holistic Therapy LLC
- Clinical Social Worker
- Takoma Park, MD
National Provider Identifier
1679021570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16570
- Legal business name
- HOLISTIC THERAPY LLC
- Practice address
- 7034 Carroll Ave Ste 1
Takoma Park, MD 20912-4434 - Phone
- (202) 495-0876
- NPI assigned
- Sep 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikita Pion-Klockner, LCSW
- Title
- Owner/Psychotherapist
- Phone
- (202) 495-0876
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16570 | MD | Primary |
Addresses
Primary practice location
7034 Carroll Ave Ste 1
Takoma Park, MD 20912-4434
Mailing address
7034 Carroll Ave Ste 1
Takoma Park, MD 20912-4434
Phone (202) 495-0876
National Provider Directory
National Provider DirectoryLocations
7034 Carroll Ave
Ste 1
Takoma Park, MD 20912
Phone (202) 495-0876
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Takoma Park, MD
- NPI 1912063991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474329600000",
"number": "1679021570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7034 CARROLL AVE STE 1",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124434",
"telephone_number": "202-495-0876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7034 CARROLL AVE STE 1",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124434",
"telephone_number": "202-495-0876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-20",
"last_updated": "2016-09-20",
"status": "A",
"authorized_official_last_name": "PION-KLOCKNER",
"authorized_official_first_name": "NIKITA",
"authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
"authorized_official_telephone_number": "202-495-0876",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.