Active NPI
Hibbard Therapy, LLC
- Clinical Social Worker
- Severna Park, MD
National Provider Identifier
1841621646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13249
- Legal business name
- HIBBARD THERAPY, LLC
- Practice address
- 507 West Dr
Severna Park, MD 21146-2623 - Phone
- (410) 245-2199
- NPI assigned
- Dec 3, 2013
- Last updated
- Dec 3, 2013
- 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
- Stephanie Hibbard
- Title
- Owner
- Phone
- (410) 245-2199
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC4701 | MD | |
| Clinical Social Worker | 1041C0700X | 13249 | MD | Primary |
Addresses
Primary practice location
507 West Dr
Severna Park, MD 21146-2623
Mailing address
365 Wilett Dr
Severna Park, MD 21146-1920
Phone (410) 245-2199
National Provider Directory
National Provider DirectoryLocations
507 West Dr
Severna Park, MD 21146
Phone (410) 266-0070
692B Ritchie Hwy
Ste 100
Severna Park, MD 21146
Phone (301) 867-3117
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.
-
- Professional Counselor
- Severna Park, MD
- NPI 1225307499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386028800000",
"number": "1841621646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 WILETT DR",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211461920",
"telephone_number": "410-245-2199",
"fax_number": "410-544-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 WEST DR",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462623",
"telephone_number": "410-245-2199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIBBARD THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-03",
"last_updated": "2013-12-03",
"status": "A",
"authorized_official_last_name": "HIBBARD",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-245-2199"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC4701",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "13249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.