Organization Active NPI

MFM Therapy

Doing business as Eager Street Counseling

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1790205912
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15147 Issued in MD
Legal business name
MFM THERAPY
Doing business as
Eager Street Counseling
Practice address
10 W Eager St
Baltimore, MD 21201-5467
Phone
(443) 961-7606
Fax
(410) 874-4057
NPI assigned
Jun 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Authorized official

Name
Matthew Figiel-Miller, LCSW-CNPI 1417373465
Title
President
Phone
(443) 961-7606

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 SINGLE SPECIALTY GROUP 1041C0700X 15147 MD Primary

Addresses

Primary practice location

10 W Eager St
Baltimore, MD 21201-5467

Mailing address

2747 Maryland Ave
Baltimore, MD 21218-4381
Phone (443) 961-7606

Other names 1

  • Eager Street Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

10 W Eager St
Baltimore, MD 21201
Phone (410) 205-9782

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": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1790205912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184381",
            "telephone_number": "443-961-7606",
            "fax_number": "410-874-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W EAGER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015467",
            "telephone_number": "443-961-7606",
            "fax_number": "410-874-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "FIGIEL-MILLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-961-7606",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eager Street Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.