Innersourced Solutions, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INNERSOURCED SOLUTIONS, INC.

Practice address

11705 Berry Rd Ste 104
Waldorf, MD 20603

Phone

(240) 207-4513

Fax

(240) 846-6037

NPI assigned

Mar 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Michelle A Dillard, DSW, LCSW-CNPI 1083988133

Title

Ce0

Phone

(240) 207-4513

Specialties & licenses 1

Addresses

Other names 1

• InnerSourced Solutions Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle A Dillard, LCSW-C, LICSW

  • Clinical Social Worker
  • Waldorf, MD
  • NPI 1083988133
  NPD (past) Authorized official

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

{
    "created_epoch": "1552694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1982163283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11705 BERRY RD STE 104",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035933",
            "telephone_number": "240-207-4513",
            "fax_number": "240-846-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 BERRY RD STE 104",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20603",
            "telephone_number": "240-207-4513",
            "fax_number": "240-846-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERSOURCED SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-16",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CE0",
        "authorized_official_telephone_number": "240-207-4513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnerSourced Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Ingram, LICSW
• Innerbloom Mental Health Clinics LLC
• Innersourced Solutions Inc
• Innersourced Solutions, Inc.
• Innersourced Solutions, Inc.
• Inova Health Care Services
• Insight Therapeutic
• Insight Therapeutic Services Inc
• Inspired Insight Counseling and Consulting, LLC
• Institute for Behavioral Change, Inc.

• Community/Behavioral Health Agency in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.