Collaborative Concepts of Maryland

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COLLABORATIVE CONCEPTS OF MARYLAND

Practice address

1400 Mercantile Lane, Suite 208
Largo, MD 20774

Phone

(301) 318-1148

NPI assigned

Oct 22, 2018

Last updated

Oct 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shirley R. Newton-Guest, LCSW-C

Title

Licensed Certified Social Worker-CL

Phone

(301) 318-1148

Specialties & licenses 2

Addresses

Tax ID family

Collaborative Concepts of Maryland2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Collaborative Concepts of Maryland, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1699182782
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1861968489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LANE, SUITE 208",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "301-318-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LANE, SUITE 208",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "301-318-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE CONCEPTS OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "NEWTON-GUEST",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "LICENSED CERTIFIED SOCIAL WORKER-CL",
        "authorized_official_telephone_number": "301-318-1148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Cleary, CRNA
• Client Business Services & Associates LLC (CBSA Healthcare Staffing)
• Vaylah B Clinton, ED.D, LCPC
• Temeka Coates, MSN, APRN, FNP-BC
• Olumide A Coker, M.D.
• Adrienne G Collier, MD
• Collins Consulting, LLC
• Committed to the Journey LLC
• Community Counseling & Mentoring Services, Inc
• Community Counseling & Mentoring Services, Inc

• Clinical Social Worker in Largo, MD
• Providers in Largo, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.