NPIMap

Organization Active NPI

Growing Minds

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1780107227
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17557 Issued in MD
Legal business name
GROWING MINDS
Practice address
3204 Tower Oaks Blvd Ste 180
Rockville, MD 20852-4206
Phone
(856) 912-2292
NPI assigned
Jul 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Authorized official

Name
Mrs. Jill Jerome, LCSW-CNPI 1366712101
Title
Clinical Social Worker
Phone
(856) 912-2292

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 WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 17557 MD Primary

Addresses

Primary practice location

3204 Tower Oaks Blvd Ste 180
Rockville, MD 20852-4206

Mailing address

20448 Waters Point LN
Germantown, MD 20874-1091
Phone (856) 912-2292

National Provider Directory

National Provider Directory

Locations

3204 Tower Oaks Blvd
Ste 180
Rockville, MD 20852
Phone (856) 912-2292

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1780107227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20448 WATERS POINT LN",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741091",
            "telephone_number": "856-912-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 TOWER OAKS BLVD STE 180",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524206",
            "telephone_number": "856-912-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "JEROME",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "856-912-2292",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.