Rhema Life Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12188 Issued in MD

Legal business name

RHEMA LIFE GROUP LLC

Practice address

2670 Crain Hwy
Suite 206
Waldorf, MD 20601-2806

Phone

(301) 534-0748

Fax

(301) 705-8892

NPI assigned

Jun 5, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Orlie Reid Jr., LICSW, LCSW-C

Title

Ceo

Phone

(301) 534-0748

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1982084802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY",
            "address_2": "SUITE 206",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012806",
            "telephone_number": "301-534-0748",
            "fax_number": "301-705-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY",
            "address_2": "SUITE 206",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012806",
            "telephone_number": "301-534-0748",
            "fax_number": "301-705-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEMA LIFE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "ORLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-534-0748",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LICSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.