Organization Active NPI

Building Beyond Therapy LLC

  • Clinical Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1699278424
Registry record updated Mar 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17977 Issued in MD
Legal business name
BUILDING BEYOND THERAPY LLC
Practice address
1300 Mercantile LN Ste 134C
Upper Marlboro, MD 20774-5332
Phone
(240) 681-9721
NPI assigned
Mar 18, 2018
Last updated
Mar 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2018

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

Authorized official

Name
Kristen Brooks, LCSW-C, LICSWNPI 1023357332
Title
Clinical Social Worker/Owner
Phone
(240) 681-9721

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 17977 MD Primary

Addresses

Primary practice location

1300 Mercantile LN Ste 134C
Upper Marlboro, MD 20774-5332

Mailing address

1300 Mercantile LN Ste 134C
Upper Marlboro, MD 20774-5332
Phone (240) 681-9721

National Provider Directory

National Provider Directory

Locations

1300 Mercantile Ln
Ste 134C
Upper Marlboro, MD 20774
Phone (240) 681-9721

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.

NPI Registry JSON

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521331200000",
    "number": "1699278424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN STE 134C",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745332",
            "telephone_number": "240-681-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN STE 134C",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745332",
            "telephone_number": "240-681-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BEYOND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-03-18",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "240-681-9721",
        "authorized_official_credential": "LCSW-C, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2018; 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.