Individual provider Active NPI

Natosha Peterson Speight, LCSW-C

  • Clinical Social Worker
  • Clinton, MD
National Provider Identifier
1912170101
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13494 Issued in MD
Practice address
7801 Old Branch Ave
Suite 212
Clinton, MD 20735-1608
Phone
(301) 856-8516
NPI assigned
Apr 8, 2008
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X DC
Clinical Social Worker 1041C0700X 13494 MD Primary
Clinical Social Worker 1041C0700X LC50078311 DC

Addresses

Primary practice location

7801 Old Branch Ave
Suite 212
Clinton, MD 20735-1608

Mailing address

1403 Ora Lea LN
Upper Marlboro, MD 20774-6040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC50078311DCMDClinical Social Worker
13494MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Counseling and Educational Services, LLC School Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1912170101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 ORA LEA LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207746040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVE",
            "address_2": "SUITE 212",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351608",
            "telephone_number": "301-856-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEIGHT",
        "first_name": "NATOSHA",
        "middle_name": "PETERSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13494",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.