Organization Active NPI

Come 2 Change Women's Support Center, LLC

  • Community/Behavioral Health Agency
  • Kensington, MD
National Provider Identifier
1780117069
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
18736 Issued in MD
Legal business name
COME 2 CHANGE WOMEN'S SUPPORT CENTER, LLC
Practice address
10410 Kensington Pkwy
Suite 219
Kensington, MD 20895-2943
Phone
(240) 278-9522
NPI assigned
Apr 4, 2017
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Mrs. Laurieann Duarte, LCSW-CNPI 1366849242
Title
Owner
Phone
(240) 278-9522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 18736 MD Primary

Addresses

Primary practice location

10410 Kensington Pkwy
Suite 219
Kensington, MD 20895-2943

Mailing address

10410 Kensington Pkwy
Suite 219
Kensington, MD 20895-2943
Phone (240) 278-9522

National Provider Directory

National Provider Directory

Locations

10410 Kensington Pkwy
Ste 219
Kensington, MD 20895
Phone (240) 278-9522

10410 Kensington Pkwy
Ste 225
Kensington, MD 20895
Phone (240) 278-9522

Practitioners & affiliated clinicians

Practitioners 1

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": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1780117069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 KENSINGTON PKWY",
            "address_2": "SUITE 219",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952943",
            "telephone_number": "240-278-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 KENSINGTON PKWY",
            "address_2": "SUITE 219",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952943",
            "telephone_number": "240-278-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COME 2 CHANGE WOMEN'S SUPPORT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "DUARTE",
        "authorized_official_first_name": "LAURIEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-278-9522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "18736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.