NPIMap

Organization Active NPI

Maryland Psychotherapy Services LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1750424081
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10308 Issued in MD
Legal business name
MARYLAND PSYCHOTHERAPY SERVICES LLC
Practice address
104 Church Lane
Suite 206
Baltimore, MD 21208-3845
Phone
(410) 580-0244
Fax
(410) 630-1008
NPI assigned
Feb 15, 2007
Last updated
Sep 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Ms. Danica Lee Guttman, LCSW-C, BCDNPI 1841333184
Title
Owner
Phone
(410) 580-0244

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 10308 MD Primary

Addresses

Primary practice location

104 Church Lane
Suite 206
Baltimore, MD 21208-3845

Mailing address

104 Church Lane
Suite 206
Baltimore, MD 21208-3845
Phone (410) 580-0244

Other names 1

  • Danica Lee Guttman LCSW-C, BCD Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1750424081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHURCH LANE",
            "address_2": "SUITE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083845",
            "telephone_number": "410-580-0244",
            "fax_number": "410-630-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHURCH LANE",
            "address_2": "SUITE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083845",
            "telephone_number": "410-580-0244",
            "fax_number": "410-630-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND PSYCHOTHERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "GUTTMAN",
        "authorized_official_first_name": "DANICA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-580-0244",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C, BCD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Danica Lee Guttman LCSW-C, BCD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.