Organization Active NPI

Spanish Catholic Charities Catholic Community Services

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1861697823
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SPANISH CATHOLIC CHARITIES CATHOLIC COMMUNITY SERVICES
Practice address
12247 Georgia Ave
Silver Spring, MD 20902-5523
Phone
(301) 434-8385
Fax
(301) 434-8067
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Anna Maria Izquierdo, M.D.
Title
Director
Phone
(202) 939-2412

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community Health Clinic/Center 261QC1500X R096580 MD

Addresses

Primary practice location

12247 Georgia Ave
Silver Spring, MD 20902-5523

Mailing address

12247 Georgia Ave
Silver Spring, MD 20902-5523
Phone (301) 434-8385

National Provider Directory

National Provider Directory
Tax ID family
Spanish Catholic Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1861697823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12247 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025523",
            "telephone_number": "301-434-8385",
            "fax_number": "301-434-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12247 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025523",
            "telephone_number": "301-434-8385",
            "fax_number": "301-434-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH CATHOLIC CHARITIES CATHOLIC COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-939-2412",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MD",
            "license": "R096580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.