Active NPI
Full Circle Therapy Services LLC
- Clinical Social Worker
- Riverdale, MD
National Provider Identifier
1780127167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50080214
- Legal business name
- FULL CIRCLE THERAPY SERVICES LLC
- Practice address
- 4404 Queensbury Rd
Suite 105
Riverdale, MD 20737-1068 - Phone
- (301) 971-4096
- NPI assigned
- Dec 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sonia Ross, LICSW
- Title
- Founder/Ceo
- Phone
- (301) 971-4096
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50080214 | DC | Primary |
Addresses
Primary practice location
4404 Queensbury Rd
Suite 105
Riverdale, MD 20737-1068
Mailing address
7764 Mandan Rd
Greenbelt, MD 20770-2167
Phone (301) 971-4096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4404 Queensbury Rd
Ste 105
Riverdale, MD 20737
Phone (301) 447-0786
Practitioners & affiliated clinicians
Practitioners 1
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": "1480636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480636800000",
"number": "1780127167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7764 MANDAN RD",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207702167",
"telephone_number": "301-971-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4404 QUEENSBURY RD",
"address_2": "SUITE 105",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371068",
"telephone_number": "301-971-4096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL CIRCLE THERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-02",
"last_updated": "2016-12-02",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "SONIA",
"authorized_official_title_or_position": "FOUNDER/CEO",
"authorized_official_telephone_number": "301-971-4096",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50080214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.