NPIMap

Organization Active NPI

Family, Adult & Child Enrichment Services, PA

  • Clinical Social Worker
  • Clarksburg, MD
National Provider Identifier
1871647487
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09724 Issued in MD
Legal business name
FAMILY, ADULT & CHILD ENRICHMENT SERVICES, PA
Practice address
23316 Bent Arrow Dr
Clarksburg, MD 20871-4454
Phone
(301) 540-5478
NPI assigned
Jan 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph Peter Wilson, LCSW-CNPI 1205911534
Title
Owner
Phone
(301) 540-5478

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 09724 MD Primary

Addresses

Primary practice location

23316 Bent Arrow Dr
Clarksburg, MD 20871-4454

Mailing address

23316 Bent Arrow Dr
Clarksburg, MD 20871-4454
Phone (301) 540-5478

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871647487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23316 BENT ARROW DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714454",
            "telephone_number": "301-540-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23316 BENT ARROW DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714454",
            "telephone_number": "301-540-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY, ADULT & CHILD ENRICHMENT SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-540-5478",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.