NPIMap

Organization Active NPI

Next Place Therapy Services

  • Clinical Social Worker
  • Largo, MD
National Provider Identifier
1760928949
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC303435 Issued in DC
Legal business name
NEXT PLACE THERAPY SERVICES
Practice address
1300 Mercantile LN Ste 100G2
Largo, MD 20774-5383
Phone
(301) 404-3761
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Mrs. Sabra Donna Starnes, LICSW
Title
Owner
Phone
(301) 404-3761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC303435 DC Primary

Addresses

Primary practice location

1300 Mercantile LN Ste 100G2
Largo, MD 20774-5383

Mailing address

1300 Mercantile Lane Suite 100 G-2
Largo, MD 20774
Phone (301) 404-3761

Other identifiers 1

IdentifierTypeStateIssuer
000809500MedicaidMD

National Provider Directory

National Provider Directory

Locations

1300 Mercantile Ln
Ste 100
Largo, MD 20774

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1760928949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LANE SUITE 100 G-2",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "301-404-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN STE 100G2",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745383",
            "telephone_number": "301-404-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT PLACE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "STARNES",
        "authorized_official_first_name": "SABRA",
        "authorized_official_middle_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-404-3761",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC303435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000809500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.