Individual provider Active NPI

Florence Marie Herndon, LCSW-C

  • Clinical Social Worker
  • Waldorf, MD
National Provider Identifier
1689219982
Registry record updated Nov 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19914 Issued in MD
Practice address
601 Post Office Rd Ste 2D
Waldorf, MD 20602-1912
Phone
(301) 848-0461
Fax
(301) 885-0922
NPI assigned
Nov 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19914 MD Primary

Addresses

Primary practice location

601 Post Office Rd Ste 2D
Waldorf, MD 20602-1912

Mailing address

4542 Cavalier CT
White Plains, MD 20695-4403
Phone (301) 638-3554

Other names 1

  • Florence Marie Barnes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19914MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coquus Clinical CurrentSince Nov 17, 2019 Accepting new patients

Locations

601 Post Office Rd
Ste 2D
Waldorf, MD 20602
Phone (301) 848-0461

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573344000000",
    "number": "1689219982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 CAVALIER CT",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206954403",
            "telephone_number": "301-638-3554",
            "fax_number": "301-638-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 POST OFFICE RD STE 2D",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021912",
            "telephone_number": "301-848-0461",
            "fax_number": "301-885-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "FLORENCE",
        "middle_name": "MARIE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-10",
        "last_updated": "2019-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLORENCE",
            "last_name": "BARNES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2019; 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.