Organization Active NPI

City of College Park

Doing business as College Park Youth and Family Services

  • Clinical Social Worker
  • College Park, MD
National Provider Identifier
1992526719
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CITY OF COLLEGE PARK
Doing business as
College Park Youth and Family Services
Practice address
4912 Nantucket Rd
College Park, MD 20740-1458
Phone
(240) 487-3550
NPI assigned
Oct 23, 2024
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Kiaisha Barber, LCSW-CNPI 1699224832
Title
Director
Phone
(240) 487-3550

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 Worker 1041C0700X NU Primary

Addresses

Primary practice location

4912 Nantucket Rd
College Park, MD 20740-1458

Mailing address

4912 Nantucket Rd
College Park, MD 20740-1458

Other names 1

  • College Park Youth and Family Services Doing business as

National Provider Directory

National Provider Directory

Locations

4912 Nantucket Rd
College Park, MD 20740
Phone (240) 487-3550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1992526719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 NANTUCKET RD",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 NANTUCKET RD",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401458",
            "telephone_number": "240-487-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF COLLEGE PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "KIAISHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-487-3550",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Park Youth and Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "College Park Youth and Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.