Active NPI
Donna Woodward
- Mental Health Counselor
- Waldorf, MD
National Provider Identifier
1760078174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 26496
- Practice address
- 601 Post Office Rd
Waldorf, MD 20602-1912 - Phone
- (301) 848-0461
- Fax
- (301) 855-0922
- NPI assigned
- Dec 19, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 26496 | MD | Primary |
Addresses
Primary practice location
601 Post Office Rd
Waldorf, MD 20602-1912
Mailing address
10220 Deer Trail CT
Dunkirk, MD 20754-9319
Phone (202) 657-3959
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26496 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608336000000",
"number": "1760078174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10220 DEER TRAIL CT",
"city": "DUNKIRK",
"state": "MD",
"postal_code": "207549319",
"telephone_number": "202-657-3959",
"fax_number": "410-741-3037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 POST OFFICE RD",
"city": "WALDORF",
"state": "MD",
"postal_code": "206021912",
"telephone_number": "301-848-0461",
"fax_number": "301-855-0922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWARD",
"first_name": "DONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-19",
"last_updated": "2020-12-19",
"certification_date": "2020-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "26496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.