Trinity Health Pace Montgomery County

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

TRINITY HEALTH PACE MONTGOMERY COUNTY

Practice address

200 Perry Pkwy Ste 1
Gaithersburg, MD 20877-2171

Phone

(240) 690-3400

NPI assigned

Jul 2, 2024

Organization subpart

Yes

Parent organization

TRINITY HEALTH PACEAs reported in NPPES

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

Authorized official

Name

Kathleen Williams, LCSW-CNPI 1356324073

Title

Executive Director

Phone

(240) 690-3456

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Mercy Adult Day Health of Westfield

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen S Williams, LCSW-C

  • Clinical Social Worker
  • Rockville, MD
  • NPI 1356324073
  NPD Authorized official

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1750127478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PERRY PKWY STE 1",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772171",
            "telephone_number": "240-690-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PERRY PKWY STE 1",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772171",
            "telephone_number": "240-690-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH PACE MONTGOMERY COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH PACE",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "240-690-3456",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Matthew Trudeau
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• PACE Provider Organization in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• PACE Provider Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.