Susanna O. McNamara,LCSW-C, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11540 Issued in MD

Legal business name

SUSANNA O. MCNAMARA,LCSW-C, LLC

Practice address

21945 Three Notch Rd
Suite 103
Lexington Park, MD 20653-1562

Phone

(301) 997-1494

Fax

(410) 586-3674

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Susanna Oksana McNamara, LCSW-C

Title

Psychotherapist

Phone

(301) 373-8765

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1942694682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42180 CIDER LN",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206362387",
            "telephone_number": "301-373-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21945 THREE NOTCH RD",
            "address_2": "SUITE 103",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531562",
            "telephone_number": "301-997-1494",
            "fax_number": "410-586-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANNA O. MCNAMARA,LCSW-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_middle_name": "OKSANA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "301-373-8765",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMARY TAXONOMY",
            "identifier": "1041C0700X",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "941L70",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Lexington Park, MD
• Providers in Lexington Park, 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 Mar 19, 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.

Verify at the official NPI Registry.