Organization Active NPI

DMV Wellness Center, LLC

  • Clinical Social Worker
  • Germantown, MD
National Provider Identifier
1831809003
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DMV WELLNESS CENTER, LLC
Practice address
12774 Wisteria Dr Unit 163
Germantown, MD 20875-7507
Phone
(240) 855-5428
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Mrs. Tiffani SmithsonNPI 1891337549
Title
Social Worker
Phone
(240) 855-5428

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

12774 Wisteria Dr Unit 163
Germantown, MD 20875-7507

Mailing address

12774 Wisteria Dr Unit 163
Germantown, MD 20875-7507
Phone (240) 855-5428

National Provider Directory

National Provider Directory

Locations

12774 Wisteria Dr
Unit 163
Germantown, MD 20875
Phone (240) 484-5585

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": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1831809003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12774 WISTERIA DR UNIT 163",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208757507",
            "telephone_number": "240-855-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12774 WISTERIA DR UNIT 163",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208757507",
            "telephone_number": "240-855-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMV WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "SMITHSON",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "240-855-5428",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.