NPIMap

Organization Active NPI

Family Crisis Center of Prince Georges' County, Inc.

  • Clinical Social Worker
  • Brentwood, MD
National Provider Identifier
1962892851
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC301226 Issued in DC
Legal business name
FAMILY CRISIS CENTER OF PRINCE GEORGES' COUNTY, INC.
Practice address
3601 Taylor St
Brentwood, MD 20722-1300
Phone
(301) 779-2100
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Sophie Ford
Title
Executive Director
Phone
(301) 779-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC301226 DC Primary

Addresses

Primary practice location

3601 Taylor St
Brentwood, MD 20722-1300

Mailing address

3601 Taylor St
Brentwood, MD 20722-1300
Phone (301) 779-2100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1962892851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 TAYLOR ST",
            "city": "BRENTWOOD",
            "state": "MD",
            "postal_code": "207221300",
            "telephone_number": "301-779-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 TAYLOR ST",
            "city": "BRENTWOOD",
            "state": "MD",
            "postal_code": "207221300",
            "telephone_number": "301-779-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CRISIS CENTER OF PRINCE GEORGES' COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-779-2100"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC301226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.