Individual provider Active NPI

Mario Alexander Esposito Faraone, LCSW-C

  • Clinical Social Worker
  • Sandy Spring, MD
National Provider Identifier
1699440925
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
913 Olney Sandy Spring Rd
Sandy Spring, MD 20860-1318
Phone
(301) 570-4050
NPI assigned
Aug 10, 2021
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

913 Olney Sandy Spring Rd
Sandy Spring, MD 20860-1318

Mailing address

7073 Mink Hollow Rd
Highland, MD 20777-9771
Phone (301) 854-2331

Other practice location 1

7073 Mink Hollow Rd
Highland, MD 20777-9771
Phone (301) 854-2331

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL sfoundas@flourishcounselingandwellness.com
CONNECT URL justthisjustnowpsychotherapy@gmail.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Counseling & Wellness Center CurrentSince Jun 30, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1699440925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7073 MINK HOLLOW RD",
            "city": "HIGHLAND",
            "state": "MD",
            "postal_code": "207779771",
            "telephone_number": "301-854-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 OLNEY SANDY SPRING RD",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601318",
            "telephone_number": "301-570-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7073 Mink Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "MD",
            "postal_code": "207779771",
            "country_code": "US",
            "telephone_number": "301-854-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPOSITO FARAONE",
        "first_name": "MARIO",
        "middle_name": "ALEXANDER",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sfoundas@flourishcounselingandwellness.com",
            "affiliation": "N",
            "address_1": "913 Olney Sandy Spring Rd",
            "city": "Sandy Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208601318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "justthisjustnowpsychotherapy@gmail.com",
            "affiliation": "N",
            "address_1": "7073 Mink Hollow Rd",
            "city": "Highland",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207779771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.