Active NPI
Florence Marie Herndon, LCSW-C
- Clinical Social Worker
- Waldorf, MD
National Provider Identifier
1689219982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19914
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19914 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coquus | Clinical | Current | 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.