NPIMap

Organization Active NPI

S&S Wellness, LLC

  • Community/Behavioral Health Agency
  • Fort Washington, MD
National Provider Identifier
1952763666
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15706 Issued in MD
Legal business name
S&S WELLNESS, LLC
Practice address
10905 Fort Washington Rd Ste 400a
Fort Washington, MD 20744
Phone
(301) 693-6946
Fax
(240) 844-7501
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Ms. Giana M Davis, LCSW-C, LICSWNPI 1871838946
Title
Psychotherapist
Phone
(301) 693-6946

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 15706 MD Primary
Community/Behavioral Health Agency 251S00000X LC50080356 DC

Addresses

Primary practice location

10905 Fort Washington Rd Ste 400a
Fort Washington, MD 20744

Mailing address

9702 Overview CT
Fort Washington, MD 20744-3786
Phone (301) 693-6946

Other practice location 1

9702 Overview Ct
Fort Washington, MD 20744-3786
Phone (301) 693-6946

Other practice location 2

10905 Fort Washington Rd Ste 400A
Fort Washington, MD 20744
Phone (301) 693-6946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190617003306 DC Part B Supplier - Clinic/Group Practice 4183957525 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Washington, MD

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.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1952763666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9702 OVERVIEW CT",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207443786",
            "telephone_number": "301-693-6946",
            "fax_number": "240-844-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 FORT WASHINGTON RD STE 400A",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "20744",
            "telephone_number": "301-693-6946",
            "fax_number": "240-844-7501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9702 Overview Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207443786",
            "country_code": "US",
            "telephone_number": "301-693-6946",
            "fax_number": "240-244-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10905 Fort Washington Rd Ste 400A",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "20744",
            "country_code": "US",
            "telephone_number": "301-693-6946",
            "fax_number": "240-844-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "S&S WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "301-693-6946",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "15706",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "LC50080356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.