Active NPI
Mario Alexander Esposito Faraone, LCSW-C
- Clinical Social Worker
- Sandy Spring, MD
National Provider Identifier
1699440925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish Counseling & Wellness Center | Current | 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.
-
- Multi-Specialty Clinic/Center
- Highland, MD
- NPI 1063923498
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.