Unlocking Resilience, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

UNLOCKING RESILIENCE, LLC

Practice address

22 N Mulberry St Ste 14&120
Hagerstown, MD 21740-4870

Phone

(240) 986-3139

Fax

(301) 576-3828

NPI assigned

Jan 6, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Lee Canby, MSW, LCSW-CNPI 1821561515

Title

Child and Family Therapist

Phone

(240) 986-3139

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Canby Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lee Canby, MSW, LCSW-C

  • Clinical Social Worker
  • Hagerstown, MD
  • NPI 1821561515
  NPD (past) Authorized official

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546732800000",
    "number": "1902379696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAHALEE CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254037307",
            "telephone_number": "304-616-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N MULBERRY ST STE 14&120",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404870",
            "telephone_number": "240-986-3139",
            "fax_number": "301-576-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLOCKING RESILIENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-06",
        "last_updated": "2019-01-06",
        "status": "A",
        "authorized_official_last_name": "CANBY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHILD AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "240-986-3139",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Canby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Hagerstown, MD
• Providers in Hagerstown, 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 Jan 6, 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.