OrganizationActive
Interdynamics, Inc.
NPI 1154767697 · Clinical Social Worker · Lanham, MD
Provider details
- NPI number
- 1154767697
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mary Mitchell, Administrative Project Manager(301) 306-4590
- License
- 14082 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4601 Forbes Blvd
Suite #100
Lanham, MD 20706-4807
Phone: (301) 306-4590
Fax: (301) 306-4590
Street-level locationGet directions
Mailing address
4601 Forbes Blvd
Lanham, MD 20706-4807
Registry dates
- Enumerated
- 2013-05-10
- Last updated
- 2013-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.