Organization Active NPI

Hibbard Therapy, LLC

  • Clinical Social Worker
  • Severna Park, MD
National Provider Identifier
1841621646
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13249 Issued in MD
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LC4701 MD
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.