NPIMap

Organization Active NPI

Nexus Wellness Center

  • Clinical Social Worker
  • Bowie, MD
National Provider Identifier
1932313327
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NEXUS WELLNESS CENTER
Practice address
1525 Pointer Ridge
Suite 302
Bowie, MD 20716
Phone
(301) 761-1648
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Ms. Shelly Rose Statz, LCSW-C
Title
Executive Director
Phone
(301) 761-1648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1525 Pointer Ridge
Suite 302
Bowie, MD 20716

Mailing address

1525 Pointer Ridge PL
Suite 302
Bowie, MD 20716
Phone (301) 761-1648

National Provider Directory

National Provider Directory

Locations

1525 Pointer Ridge Pl
Ste 302
Bowie, MD 20716
Phone (301) 761-1648

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1932313327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 POINTER RIDGE PL",
            "address_2": "SUITE 302",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "301-761-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 POINTER RIDGE",
            "address_2": "SUITE 302",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "301-761-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "STATZ",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-761-1648",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "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": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.