NPIMap

Organization Active NPI

Trap House Therapy, LLC

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1679127112
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRAP HOUSE THERAPY, LLC
Practice address
501 N Frederick Ave. Suite 300
Gaithersburg, MD 20877
Phone
(240) 200-4068
NPI assigned
Aug 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Lakisha Moniq Shears, LCSW-C
Title
Ceo/Owner
Phone
(240) 200-4068

Specialties & licenses 1

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

Addresses

Primary practice location

501 N Frederick Ave. Suite 300
Gaithersburg, MD 20877

Mailing address

12774 Wisteria Dr Unit 1001
Germantown, MD 20875-7554
Phone (240) 200-4068

National Provider Directory

National Provider Directory

Locations

12774 Wisteria Dr
Unit 1001
Germantown, MD 20875
Phone (240) 200-4068

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1679127112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12774 WISTERIA DR UNIT 1001",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208757554",
            "telephone_number": "240-200-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE. SUITE 300",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20877",
            "telephone_number": "240-200-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAP HOUSE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "SHEARS",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_middle_name": "MONIQ",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "240-200-4068",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.