NPIMap

Organization Active NPI

Foundation Psychotherapy and Counseling, LLC

  • Clinical Social Worker
  • Olney, MD
National Provider Identifier
1679931273
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12403 Issued in MD
Legal business name
FOUNDATION PSYCHOTHERAPY AND COUNSELING, LLC
Practice address
2919 Olney Sandy Spring Rd Ste a
Olney, MD 20832-1587
Phone
(301) 254-3972
NPI assigned
Feb 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Ms. Deborah Anne Irvin, LCSW-CNPI 1376922203
Title
President, Clinical Director
Phone
(301) 254-3972

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 12403 MD Primary

Addresses

Primary practice location

2919 Olney Sandy Spring Rd Ste a
Olney, MD 20832-1587

Mailing address

6123 White Marble CT
Clarksville, MD 21029-1658
Phone (301) 254-3972

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1679931273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 WHITE MARBLE CT",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291658",
            "telephone_number": "301-254-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 OLNEY SANDY SPRING RD STE A",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321587",
            "telephone_number": "301-254-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION PSYCHOTHERAPY AND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "301-254-3972",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.