Active NPI
Desiree Gougherty Gharakhanian
- Social Worker
- Dundalk, MD
National Provider Identifier
1922420041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 20624
- Practice address
- 1553 Merritt Blvd
Dundalk, MD 21222-2113 - Phone
- (410) 282-6144
- NPI assigned
- Jan 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | 20624 | MD | Primary |
Addresses
Primary practice location
1553 Merritt Blvd
Dundalk, MD 21222-2113
Mailing address
1553 Merritt Blvd
Dundalk, MD 21222-2113
Phone (410) 282-6144
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20624 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1922420041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1553 MERRITT BLVD",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212222113",
"telephone_number": "410-282-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1553 MERRITT BLVD",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212222113",
"telephone_number": "410-282-6144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHARAKHANIAN",
"first_name": "DESIREE",
"middle_name": "GOUGHERTY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-08",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "20624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.