Organization Active NPI

Growth Connections LLC

  • Clinical Social Worker
  • Largo, MD
National Provider Identifier
1699229021
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17933 Issued in MD
Legal business name
GROWTH CONNECTIONS LLC
Practice address
1400 Mercantile LN
Suite 260
Largo, MD 20774-5341
Phone
(202) 802-0859
NPI assigned
Aug 15, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Shirelle Denise Wright, LCSW-CNPI 1164884151
Title
Psychotherapist
Phone
(202) 802-0859

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 Worker 1041C0700X 17933 MD Primary

Addresses

Primary practice location

1400 Mercantile LN
Suite 260
Largo, MD 20774-5341

Mailing address

1055 Catesby Ter
Hyattsville, MD 20785-5989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161212000004 DC Part B Supplier - Clinic/Group Practice 8123308194 Receives reassigned benefits from 1 practitioner
Practice locations: Lanham, MD

National Provider Directory

National Provider Directory

Locations

3231 Superior Ln
Ste A5
Bowie, MD 20715
Phone (301) 466-9914

4425 Forbes Blvd
Ste Jk
Lanham, MD 20706
Phone (240) 487-4086

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1699229021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CATESBY TER",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207855989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN",
            "address_2": "SUITE 260",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745341",
            "telephone_number": "202-802-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SHIRELLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "202-802-0859",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.