NPIMap

Organization Active NPI

Prestige Therapy & Consulting Group, LLC

  • Clinical Social Worker
  • Pocomoke City, MD
National Provider Identifier
1700664240
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PRESTIGE THERAPY & CONSULTING GROUP, LLC
Practice address
609 Market St
Pocomoke City, MD 21851-1141
Phone
(757) 392-7387
NPI assigned
Sep 18, 2023
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Shelonda Townsend, LCSW-CNPI 1710605621
Title
Owner
Phone
(443) 614-2445

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

609 Market St
Pocomoke City, MD 21851-1141

Mailing address

609 Market St
Pocomoke City, MD 21851-1141
Phone (443) 614-2445

National Provider Directory

National Provider Directory

Locations

2636 N Salisbury Blvd
Salisbury, MD 21801
Phone (443) 401-3159

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": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1700664240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MARKET ST",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218511141",
            "telephone_number": "443-614-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MARKET ST",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218511141",
            "telephone_number": "757-392-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE THERAPY & CONSULTING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "SHELONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-614-2445",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocomoke City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.