Active NPI
DCPS
- Social Worker
- Clinton, MD
National Provider Identifier
1699103622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LG50078138
- Legal business name
- DCPS
- Practice address
- 5504 Trout Run Rd
Clinton, MD 20735 - Phone
- (202) 673-7385
- NPI assigned
- Oct 30, 2013
- Last updated
- Oct 30, 2013
- Organization subpart
- Yes
- Parent organization
- YES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nina Monique Harrison, LGSW
- Title
- Social Worker
- Phone
- (202) 673-7385
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LG50078138 | DC | Primary |
Addresses
Primary practice location
5504 Trout Run Rd
Clinton, MD 20735
Mailing address
5504 Trout Run Rd
Clinton, MD 20735-1568
Phone (202) 673-7385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LG50078138 | Medicaid | DC |
National Provider Directory
National Provider Directory- Part of
- DCPS
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Clinton, MD
- NPI 1427489186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383091200000",
"number": "1699103622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5504 TROUT RUN RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "207351568",
"telephone_number": "202-673-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5504 TROUT RUN RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "20735",
"telephone_number": "202-673-7385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DCPS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "YES",
"enumeration_date": "2013-10-30",
"last_updated": "2013-10-30",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "NINA",
"authorized_official_middle_name": "MONIQUE",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "202-673-7385",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LGSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG50078138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LG50078138",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.