Organization Active NPI

Judith Lynn Mounty LCSW LLC

  • Clinical Social Worker
  • Takoma Park, MD
National Provider Identifier
1962037549
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JUDITH LYNN MOUNTY LCSW LLC
Practice address
508 Lincoln Ave
Takoma Park, MD 20912-5802
Phone
(240) 423-4863
NPI assigned
Mar 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Judith Lynn Mounty, LCSWNPI 1427296953
Title
Owner
Phone
(240) 423-4863

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

508 Lincoln Ave
Takoma Park, MD 20912-5802

Mailing address

508 Lincoln Ave
Takoma Park, MD 20912-5802
Phone (240) 423-4863

Other practice location 1

8720 Georgia Ave Ste 308
Silver Spring, MD 20910-3614
Phone (240) 423-4863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200324000705 DC Part B Supplier - Clinic/Group Practice 8527496678 Receives reassigned benefits from 1 practitioner
Practice locations: Takoma Park, MD

National Provider Directory

National Provider Directory

Locations

8720 Georgia Ave
Ste 308
Silver Spring, MD 20910
Phone (301) 495-6393

8720 Georgia Ave
Ste 205
Silver Spring, MD 20910
Phone (301) 495-6393

Practitioners & affiliated clinicians

Practitioners 3

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": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1962037549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 LINCOLN AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125802",
            "telephone_number": "240-423-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 LINCOLN AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125802",
            "telephone_number": "240-423-4863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8720 Georgia Ave Ste 308",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103614",
            "country_code": "US",
            "telephone_number": "240-423-4863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUDITH LYNN MOUNTY LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "MOUNTY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-423-4863",
        "authorized_official_credential": "LCSW"
    },
    "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 Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.