Individual provider Active NPI

Thomas Symche Bendu, LMSW

  • Social Worker
  • Elkridge, MD
National Provider Identifier
1689239832
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
G08550 Issued in MD
Practice address
7062 Holly Springs LN
Elkridge, MD 21075-6567
Phone
(240) 398-4403
NPI assigned
May 2, 2019
Last updated
May 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X G08550 MD Primary

Addresses

Primary practice location

7062 Holly Springs LN
Elkridge, MD 21075-6567

Mailing address

7062 Holly Springs LN
Elkridge, MD 21075-6567
Phone (240) 398-4403

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
G08550MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1689239832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7062 HOLLY SPRINGS LN",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756567",
            "telephone_number": "240-398-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7062 HOLLY SPRINGS LN",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756567",
            "telephone_number": "240-398-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDU",
        "first_name": "THOMAS",
        "middle_name": "SYMCHE",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "G08550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.