Coaching for the Voyage

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09312 Issued in MD

Legal business name

COACHING FOR THE VOYAGE

Practice address

23123 Camden Way
California, MD 20619-2446

Phone

(240) 538-2577

Fax

(888) 974-6528

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Bennett, LCSW-CNPI 1154682821

Title

Therapist

Phone

(240) 538-2577

Specialties & licenses 1

Addresses

Practitioners 1

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

• Donna Bowers Bennett, LCSW-C

  • Clinical Social Worker
  • Leonardtown, MD
  • NPI 1154682821
  NPD (past) Authorized official

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1760863666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206590065",
            "telephone_number": "240-538-2577",
            "fax_number": "888-974-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23123 CAMDEN WAY",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192446",
            "telephone_number": "240-538-2577",
            "fax_number": "888-974-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHING FOR THE VOYAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "240-538-2577",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip MC Lean Christie, D.D.S., M.A.G.D.
• Mark Andrew Chylinski, MD
• Clearway Anesthesia Services NE LLC
• Clearway Surgery Center of St. Marys LLC
• Alexis Clem
• Vernishia Coleman
• Naomi Ruth Constantine, PMHNP
• Katheryne Cook
• Chanelle Cooper
• Gary Corley

• Clinical Social Worker in California, MD
• Providers in California, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.