NPIMap

Organization Active NPI

Inspire Hope & Change Therapy LLC

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1912649658
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INSPIRE HOPE & CHANGE THERAPY LLC
Practice address
12732 Veirs Mill Rd Apt 204
Rockville, MD 20853-3561
Phone
(804) 912-9568
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Jasmine Leah Gambino, LCSWCNPI 1225686082
Title
Owner/Therapist
Phone
(804) 912-9568

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 Primary

Addresses

Primary practice location

12732 Veirs Mill Rd Apt 204
Rockville, MD 20853-3561

Mailing address

12732 Veirs Mill Rd Apt 204
Rockville, MD 20853-3561
Phone (804) 912-9568

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1912649658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12732 VEIRS MILL RD APT 204",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533561",
            "telephone_number": "804-912-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12732 VEIRS MILL RD APT 204",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533561",
            "telephone_number": "804-912-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE HOPE & CHANGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "GAMBINO",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "804-912-9568",
        "authorized_official_credential": "LCSWC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.